Grange

Subscription Rates

For any membership queries, please email: membership@grangeclub.co.uk

		Full	25-29	22-24	16-21	Social
Monthly	Single Sport	£46.00	£34.50	£24.00	£17.00	£8.50
Monthly	Multisport	£57.50	£44.00	£24.00	£17.00	£8.50

Annual	Single Sport	£564.00	£426.00	£300.00	£216.00	£102.00
Annual	Multisport	£702.00	£540.00	£300.00	£216.00	£102.00

Member Details

Name*

Title First Last

Address*

Address 1 Address 2 City Post Code

Email address*

Date of Birth*

Phone*

Permission to use phone number

If you agree that your phone no. can be displayed in the Club if required eg for arranging fixtures, please tick to indicate this.

I agree

Payment Options

How do you wish to pay for your membership?*

Direct Debit – Monthly

How do you wish to pay for your membership?*

Card – Annual

Cheque – Annual

Bank Transfer – Annual

Parental Consent Form

Member Age

18 and under

Over 18

Name of U18 member*

First Last

Date of birth of U18 member*

Name of parent or guardian*

First Last

Email of parent or guardian*

Tel. no. of parent or guardian*

Address of parent or guardian*

Street Address Address Line 2 City Post Code

Parental Consent – please tick as appropriate

I consent to my child receiving appropriate first aid if required

I consent to my child being photographed or videoed for club purposes

I consent to my child being transported by persons representing the Grange or one of its individual sections for the purposes of taking part in Grange Club sporting events.

Card Payment

Membership is for 1 FULL YEAR.

By joining the GRANGE CLUB you are committing to 1 annual payment at the rate shown below.

Cheque Payment

Membership is for 1 FULL YEAR.

By joining the GRANGE CLUB you are committing to 1 annual payment at the rate shown below

Cheque payment details are provided on the next screen

Bank Transfer Payment

Membership is for 1 FULL YEAR.

By joining the GRANGE CLUB you are committing to 1 annual payment at the rate shown below.

Bank details are provided on the next screen

Monthly Direct Debit Payment

Membership is for 1 FULL YEAR.

By joining the GRANGE CLUB you are committing to 12 monthly payments at the rate shown below

Direct Debits are taken monthly in advance.

Total

Credit Card

Card Details

Cardholder Name

The Grange Club Membership Form

Subscription Rates

Member Details

Membership Options

Payment Options

Parental Consent Form

Card Payment

Cheque Payment

Bank Transfer Payment

Monthly Direct Debit Payment