Application for Junior Membership

Full Name:
Address
Home Telephone Number

Which School do you attend
Date of Birth
Which waters do you have most interest in?

Do you have a relative that is an existing member?
Name of relative	senior/junior
Do you know any senior members?	yes / no name
Are you interested in fishing junior competitions?	yes / no
Are you aware that you will be expelled from the club for leaving nylon line, litter or tin cans?	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.

I CONFIRM I have read the above note and that [ ] is under 16 years of age on June 16^th 2004 and I agree to make available his/her birth certificate should the Society wish to verify 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