Membership Application & Renewal

Membership Form

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Are you renewing or joining?
Personal details
Signature *
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Ruakura Campus Clubs (Inc.)

Subscription period: . Prices include GST.

Term
Partner details (joint membership)
Partner signature
Sign with your finger or mouse
Junior members (under 18) included in this membership ( each)
Swimming pool (must be a current RCC member)

A key purchase includes one wristband. Key holders must read and sign the pool rules before receiving their key.

Extra wristbands ( each):
Tennis (must be a current RCC member)
Barrier arm access card


Replacement keys for lost pool/tennis keys ( each):
Total payable to RCC$0.00
Ruakura Squash Club

Subscription period: . Prices include GST. Convenor:

New squash members need a Barrier Arm Access Card for court access, so one has been added in the Ruakura Campus Clubs section above.

For squash players
Can your contact details be sent to Squash NZ? (Required to be eligible for the grading list)
Do you want to be in the Ruakura Squash member telephone directory?
Total payable to Ruakura Squash Club$0.00
My interests are
New members
Nominators

How will you pay? *
Declaration *

Your signature in Personal details is used as your signature on the declaration.