Club Membership Registration Form

Club Membership Registration

Complete the form below to sign up for our membership service.
Name of person wishing to be a member

First NameLast Name
E-mail (parents email if under 18)
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:

MonthDayYear
Parents name if under 18

First NameLast Name
Parents signature

By signing you consent to your child joining and the terms of youth membership Clear
Please tell us about any medical history that is relevant
Things like asthma, allergies and other conditions that may present themselves during activities or filming. # This is confidential and will only be used in an emergency to inform medics of anything relevant #
Please tell us about any extra support or adaptations you require due to a disability, religious reason or other
Emergency contact - if you are unwell or injured this will be the person we contact

First NameLast Name
EMERCENCY CONTACT Phone Number
Please enter a valid phone number.
Where did you hear about us?

A Friend or colleaugeGoogleNews ArticleSocial mediaOther
Membership Rules
1. ADULT Membership is available to anyone 18 years of age or older. Youth membership is for those aged 8-16.

2. You promise NOT to use to conduct any fraudulent or business activity or have more than one Member Account at any time.

YOU AGREE TO FOLLOW THE RULES OF THE CLUB THAT WILL BE AGREED AND PUBLISHED ON OUR WEBSITE WITH COPIES GIVEN TO MEMBERS

MEMBERSHIP IS ON A DISCRETIONARY BASIS AND MAY BE REFUSED WITHOUT REASON. -THIS IS VERY RARE AND WE WILL ALWAYS PROVIDE A REASON WHEN APPROPRIATE TO DO SO
I have read, understood, and accepted the rules for membership.
Privacy Policy
Please reach out and read our Privacy Policy in order to understand how your information is used and shared, and check below if you accept the policy.
I have read, understood, and accepted the PRIVACY POLICY for membership.I understand i can request copies if information hillingdon tv holds regarding myself or my child
Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
Should be Empty:

Club Membership Registration

Membership Rules

Privacy Policy