Membership Application
    Membership Renewal

    APPLICANT’S DETAILS



    Residential Address:





    Mailing Address (if different from Residential Address)










    MEMBERSHIP APPLIED FOR

    Annual: $550 (from 1/2/2017)

    Join by 31 January, 2017 and pay $480 for annual membership.

    Please note that Club membership is charged annually from 1 February, 2017 but will be prorated for new members.

    To Complete membership ALL MEMBERS must affiliate with Fencing Victoria ($26). To affiliate please go to the Fencing Victoria website.

    Family discounts will apply. For the second and each subsequent family member who wishes to become a member the fee will be $150.

    PAYMENT OPTIONS:

    Online: Once your application has been submitted, you will be redirected to our online payment page.

    Direct Deposit:

    Account name: Tizona Fencing Club Pty Ltd ATF Tizona Fencing Club Hybrid Unit TrustBSB: 013-247

    Account number: 4623-67747

    Credit Card: We also have credit card facilities at the venue.

    MEMBERS CODE OF CONDUCT

    I hereby authorise Tizona Fencing Club Pty Ltd (TFC) to use photographs of myself/children for publication in print or online for promotional purposes for Tizona Fencing Club or other fencing club/organisation sites:

    Yes

    PHOTOGRAPHIC PERMISSION

    I have read and agree to abide by the Member’s Code of Conduct:

    Yes

    PRIVACY

    Your privacy is our priority. The personal details that you provide will only be used to process this application for club membership and may be passed on to Fencing Victoria or the Australian Fencing Federation for administrative purposes.

    MEMBERS MEDICAL INFORMATION

    Parent/Guardian:


    Preferred emergency contact number:

    I acknowledge that I participate in the sport of fencing at Tizona Fencing Club Pty Ltd at my own risk. Should emergency medical, hospital or ambulance services be required due to accident or illness and it is impractical to communicate with me about the aforesaid and after due efforts have been made to do so, I consent to these services being obtained at my expense.

    Yes
    No

    I give permission for the coach to administer first aid treatment as reasonably required.

    Yes
    No