Join - Ballito Dolphins Rugby Club

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Membership Application Form

Name of Applicant *

Email *

Contact Number *

Date of Birth *

Identification Number *

Address *

How did you come to know about the club?

Please tick the relevant box for membership type: *

Playing senior membership: Annual fee R 850. (Includes benefits associated with the Club, which will be specified upon issue of membership card)
Social individual membership: Annual fee R 350. (Includes benefits associated with the Club, which will be specified upon issue of membership card)
Social family membership: Annual fee R 500. (Includes benefits associated with the Club, which will be specified upon issue of membership card) . A separate membership card will be issued for each family member.

Consent *

By ticking this box, I hereby agree to abide by the Code of Ethics and accede to the Code of Conduct as per the Constitution and Bye laws of the Ballito Dolphins Rugby Club and hereby indemnify the BDSC for any loss/damage or injury suffered by me whilst participating or doing anything of any nature whatsoever in connection with the BDSC. I further acknowledge that I will abide and be bound by the Rules, Regulations and Decisions of the BDSC.

Date *

Please email POP to info@ballitodolphinsrugby.co.za after submitting this form to us.

Ballito Dolphins Rugby Club
FNB
Branch Code 250102
Acc no 62524518571

ONE HEART

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