Application for Membership

In the case of husband and wife or family tickets, please fill in a form for each person.

Full Name

Address including postcode

Home Telephone Number

Daytime and or Mobile Telephone Number

Date of Birth

Type of membership - Circle as appropriate Senior Senior Citizen Husband and Wife Disabled Family

Please list all other angling clubs or syndicates of which you are or have been a member in the past 5 years.

Have you ever been disciplined by an angling club? If yes please give details. yes / no

Have you a particular interest in any species of fish? If so what?

Have you previously fished any society waters? If so which and have you previously been a member

Do you know other senior Society members? If yes please name them.

How did you hear about the society

Are you willing to attend a new members meeting for your application to be considered? If not why not.

If accepted

(a) will you attend work parties? yes / no

(b) will you read and obey the rules of the society? yes / no

(c) are you interested in social and fundraising events? yes / no

(d) will you attend fishing club competitions?? yes / no

(e) are you interested in helping with junior matches or teachins? If 'yes' are you willing to be CRB checked? yes / no CRB yes / no

(f) will you fish regularly at any one water?
yes / no

which water?

(g) Do you have a skill or trade you can offer the Society?
If so, what
yes /no

PLEASE TICK AS APPROPRIATE BELOW: PLEASE ENSURE YOU HAVE READ THE NOTE BELOW FIRST.
PLEASE ONLY TICK ONE BOX.

I wish to apply for membership of Haslemere Angling Society and WILL NOT be applying for carp night system ticket in 2 or more years.

I wish to apply for membership of Haslemere Angling Society and WILL be applying for carp night system ticket in 2 or more years.

NOTE: If you have ticked the WILL NOT APPLY option and then decide to apply for a carp night system ticket, your membership will be suspended and you will then be invited to re-apply for Society membership, this time selecting the correct option. This will be treated as a completely new membership application and you will be required to be a member for a further minimum period of two years before any application for a night system ticket can be made again. This will of course be subject to the waiting list being open at that time.
The carp night system ticket only applies to Shillinglee and to carp fishing. Members without a carp night system ticket are entitles to fish for other species at Shillinglee during the night.

If you know a senior member of the club, please get them to fill in this section.
I propose the above named person to become a member of the Society

Full Name
Address including postcode
Telephone Number
How many years have you been a member of the Society

I declare that I wish to apply for membership of the above society and the details given are correct. If I am later proven to have knowingly made a false statement then I accept that this could result in my expulsion from the society and forfeit of membership. I further declare that I am not involved with any group or organisation whose activities may be detrimental to the sport of angling.

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

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 own person to cope with such hazards as they may find and not to continue any further (save retreating to safety) should they come across any hazard, natural or otherwise, that is likely to result in death, injury or damage to themselves or others.

I agree to abide by the rules of the Society and accept the conditions of membership

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

Please print and complete this form and forward together with an 2 passport sized photographs, cost of membership and a large SAE to:

Membership Secretary
5 Russet Close
Tongham
Farnham
Surrey
GU10 1BN

Full Name
Address including postcode
Home Telephone Number
Daytime and or Mobile Telephone Number
Date of Birth

Type of membership - Circle as appropriate	Senior Senior Citizen Husband and Wife Disabled Family
Please list all other angling clubs or syndicates of which you are or have been a member in the past 5 years.
Have you ever been disciplined by an angling club? If yes please give details.	yes / no
Have you a particular interest in any species of fish? If so what?
Have you previously fished any society waters? If so which and have you previously been a member
Do you know other senior Society members? If yes please name them.
How did you hear about the society
Are you willing to attend a new members meeting for your application to be considered? If not why not.
If accepted
(a) will you attend work parties?	yes / no
(b) will you read and obey the rules of the society?	yes / no
(c) are you interested in social and fundraising events?	yes / no
(d) will you attend fishing club competitions??	yes / no
(e) are you interested in helping with junior matches or teachins? If 'yes' are you willing to be CRB checked?	yes / no CRB yes / no
(f) will you fish regularly at any one water?	yes / no which water?
(g) Do you have a skill or trade you can offer the Society? If so, what	yes /no