Application form

NORTH WALSHAM KINGFISHERS ANGLING CLUB

Membership Application Form


NAME………………………………………………………………………………………………………………....................................................................


ADDRESS…………………………………………………………………………………....................................................................................................


………………………………………………………………………………………………………………………...................................................................


POSTCODE…………………………………..............                                                              TEL. NO……………………………………………………


DATE OF BIRTH……………………………..............                                                               EMAIL……………………………………………………...


PROPOSED BY (IF KNOWN)………………………………………………………………..


DATE OF APPLICATION…………………………………………………………………….


Membership typeplease tick which membership is required


NEW MEMBERSHIP -

Adult - £70       Senior Over 65 - £60       □ Junior (under 16) - £12.50


OR RENEWAL OF EXISTING MEMBERSHIP -


Adult - £50        Senior Over 65 - £40         Junior (under 16) - £12.50


Please note, all Junior members must have a family member with current membership at the club.

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Disclosure – General Data Protection Regulations (GDPR) 2018.

All personal data will be held in accordance with GDPR principles. We will use your personal data to administer your membership account. In order to meet our membership obligations to you, we will share relevant personal data with Club Committee members and authorities where necessary in accordance with the legal administration of the club. Should you enter into club matches, your name may be disclosed to local third-party media representatives when displaying match results in local newspapers. Your personal data will be kept on our database for a period of up to 12 months after membership has ceased.

As we are required by law to have your consent to keep your contact details stored on our database, unfortunately we will have to decline your application if the section below is not signed and dated.

I hereby apply to become a member/ or renew my membership of the club and confirm I will adhere to the club rules and regulations. By signing this form, I give the club my consent to hold my personal data in accordance with the current GDPR legislation.


SIGNATURE OF APPLICANT……………………………………………...........................................................................… DATE…………………………..


SIGNATURE OF FAMILY MEMBER (if applicant is under 16)………………………………………………............................................................................


NAME OF FAMILY MEMBER…………………………………………………………………………………..............................................................................


Please tick this box if you give your consent to your name and photo (if submitted at any time), to be used on our website. (This will include the Gallery, Match Results and Club News sections of the website). 

Please return this form by post with a STAMPED ADDRESSED ENVELOPE along with your cheque made payable to “North Walsham Kingfishers Angling Club” to: Keith Morley, Secretary, North Walsham Kingfishers A.C, 2 Randall Close, North Walsham, NR28 9AQ