Application for Junior Membership

Full Name:
Address including postcode
Home Telephone Number
Which School do you attend
Date of Birth
Please state which water interests you the most
Do you have a relative that is an existing member? If yes please name them.
Name of relative	Senior/Junior
Do you know any other senior members? If yes please name them.	.
Are you interested in fishing junior competitions?	YES / NO
Are you aware that you will be expelled from the club for leaving litter?	YES / NO

To be completed by parents/guardians

The Society is increasingly aware that a number of juniors are being left at waters during school holidays in small groups with them being deposited at the water in the morning and collected in the afternoon/evening.  During this period, juniors often become bored. In order to relieve this boredom juniors may act in a manner which results in disturbance on waters, causing noise and inconvenience to other anglers and in some cases bullying of other juniors.  This will not be tolerated and you are asked to ensure that this does not happen with your son/daughter, as the remedy is IMMEDIATE EXPULSION. The Society DOES NOT operate for the purpose of enabling parents to dispense with their children during the school holidays for their own convenience.

If you take offence at this note it is respectively suggested that you do not take this application any further. If you agree with the Society's observations then you will doubtless ensure that your child is not an offender.

If the application is successful all MEMBERS ARE REMINDED THAT around farms, woodlands, lakes rivers and ponds there are many and various hazards which are different to those they encounter in their everyday lives. THAT they are at a greater than usual risk of personal injury because of this AND THAT they and only they are responsible for their own safety.

IT IS THUS A CONDITION OF MEMBERSHIP that upon entering the Society's lands and waters, until leaving, each and every member personally assesses, in a careful, considered and responsible manner, BOTH the risk to their personal safety and the suitability of their person to cope with such hazards as they may find and not to continue any further (save retreating to saftey) should they come across any hazard, natural or otherwise, that is likely to result in death, injury or damage to themselves or others.

I confirm I have read and noted the above and that the names child is under 16 years of age on June 16th of this year. I agree to make his/her birth certificate available should the Society with to verify the date of birth.

Signed......................................................................................... Date............................

Please print and complete this form and forward together with an SAE to: 

Membership Secretary
5 Russet Close 
Tongham 
Farnham 
Surrey  
GU10 1BN