Join Online - Social

Before completing this form please ensure you have read the Worthing Hockey Club membership terms and conditions.

Membership Rates:

Social – £50 pa

Standing order or online bank transfer: Lloyds Bank, Sort code 30-99-93, Account no. 02100987. Please put ‘Social – your name’ in the reference field.

Cheques payable to ‘Worthing Hockey Club’

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Gift Aid: If you are a UK taxpayer Worthing Hockey Club can benefit by recovering tax on donations. Your personal tax position is unaffected.

* – indicates mandatory field

Personal Details

Full Name *

Contact Email *

Address *

Postcode *

Contact Phone No. *

Other Information

Please state any coaching or umpiring qualifications held

As part of our affiliation to England Hockey we are required to provide statistics on our membership. This section is not compulsory. All data submitted to EH is summarised and anonymous - individual responses are not disclosed and individuals are not identifiable.

Ethnicity:

White - BritishWhite - IrishWhite - OtherMixed - White & Black CaribbeanMixed - White & Black AfricanMixed - White & AsianMixed - OtherAsian or British Asian - IndianAsian or British Asian - PakistaniAsian or British Asian - BanglasdeshiAsian or British Asian - OtherBlack or Black British - CaribbeanBlack or Black British - AfricanBlack or Black British - OtherChineseOther Ethnic Group

Disability:

Visually ImpairedHearing ImpairedPhysical DisabilityLearning DisabilityMultiple Disability

Payment

I wish to become a Social Member of Worthing Hockey Club and agree to pay £50 membership fee.

Payment Method:

I will pay by bank transferI will post a chequeI will pay by standing orderI will pay cash

Gift Aid: If you are a UK taxpayer and would like to know more about how you could help the club through the Gift Aid scheme please check this box; you will then be sent more information and a simple form to complete.

Gift Aid

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