Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Branch

Please select the Branch that you would like to join?

Branch 1 Branch 2

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Adult Member Only available to people aged 18 or over.	£150.00
	AJJA Adult Annual Recurring AJJA Adult Annual Recurring Only available to people aged 18 or over.	£25.00
	Junior Member Only available to people up to the age of 17.	£75.00
	Locker	£15.00
	Over 70s Member Only available to people aged 70 or over.	£125.00
	test Adding categories	£20.00
	Young Person Member Only available to people between the ages of 18 and 24 inclusive.	£100.00
	Family Membership 2 Adults and up to 4 children	£500.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://sandbox.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://sandbox.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Sandbox, Sandbox Club, London, SW1A 1AA

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

Description

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