Souths Juniors Membership Application

Complete all details and click the Submit button.


1. Membership option

Select one membership option.

Member

1 Year $16.50
5 Years $65.00
10 Years $131.00
Associate Ordinary

1 Year $11.00
5 Years $43.00
10 Years $87.00


2. Declaration

To the Directors,

I hereby apply for election as a Member of the South Sydney Junior Rugby League Club Ltd. I declare that I AM OVER THE AGE OF 18 YEARS, and if elected agree to abide by the Articles Of Association and Rules of the Club.

I fully understand that I cannot bring VISITORS into the CLUB UNDER THE AGE OF 18 YEARS, EXCEPT WHEN IN DINING AREAS OR PRIVATE FUNCTIONS.

Have you ever been disbarred from this or any other club?

Yes
No


3. Your details

Complete your details. Details marked with * are compulsory.

Title *


First name *


Last name *


Email address *


Address number and street *


Suburb *
 Post code *


Phone number *


Mobile number


Date of birth (dd/mm/YY) *


Occupation


Badge number


4. Privacy statement

GAMING MACHINE PLAYERS PLEASE NOTE: Player activity statements available upon request

South Sydney Junior Rugby League Club Ltd is subject to the provisions of the Privacy Act 1988. The personal information provided by you on this form/application and attached documents will be used to process your membership application. Failure to provide all of the requested information may result in your application being rejected. You have a right to access and correct any of your personal information that the Club holds about you.

The Club does not usually disclose your personal information to third parties that provide services under contract to the Club. These contracts require the third party to keep your personal information confidential and secure.

Your personal information, including information about you obtained as a result of you placing your membership card in a gaming or other Club machine (not ATMs), may be used by the Club for marketing purposes to improve our services and to provide you with the latest information about those services, any new related services and promotions.

NOTE: If you do not have a proposer or seconder, the Club will obtain them on your behalf.


5. Membership survey

Please assist us with helping to make Souths Juniors the best venue for your needs possible.

By filling out the following form you will help us tailor our advertising to your needs and focus on why you have become a member of Souths Juniors.

1. What is the main reason for joining Souths Juniors?
Gym/Pool Entertainment
Dining Live Nearby
General Socialising Una Voce
Other:

2. Which newspaper do you read?


3. Which radio station do you listen to?

Thank you for your assistance.


6. Club journal

Souths Juniors produces a quarterly entertainment and information guide for all members. This also contains entry tickets to any major promotions that are being held.

To help conserve paper we have included the option to opt out of receiving this journal or receive it via e-mail. If you choose this option your major promotion tickets will be available for you at the membership office.

No, I do not require a copy of the Souths Juniors journal to be sent to me.
Yes, please send me a copy of the Souths Juniors journal in the mail.


7. Email options

Listed below are a range of options for our members who have their own email address. These services are designed to keep you fully up to date with information at Souths Juniors and is not designed to bombard you with useless spam.

By giving us permission to send information to you we guarantee that Souths Juniors will not pass on any information to third parties and will only be used for marketing purposes by Souths Juniors. If you do not have an email address or haven't supplied us with one please disregard this section.

Monthly E-Newsletter

This newsletter will contain information relating to upcoming events at Souths Juniors for the month including specials and other relevant information.
Membership Renewal Notices

By selecting this option we will notify you by e-mail when your fees are due helping us save unnecessary paper use.


8. Submit

Submit the above details with the button below.