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.)

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
	Junior Member Under-18 member, registered for the purposes of becoming a member of one of the junior sports teams. Only available to people up to the age of 18.	£0.00
	OWA Member - Associate Paid-up adult member of the Old Wimbledonians Association who did NOT attend Wimbledon College or Donhead. Membership is required to join any of the Sports Sections. Only available to people aged 18 or over.	£20.00
	OWA Member - Associate (School Staff) Member of the Old Wimbledonians Association who is a member of staff at Wimbledon College or Donhead School. This membership is free for the period of their employment at the school. Membership is required to join any of the Sports Sections. Only available to people aged 18 or over.	£0.00
	OWA Member - Ordinary Paid-up adult member of the Old Wimbledonians Association who attended Wimbledon College or Donhead. Membership is required to join any of the Sports Sections. Only available to people aged 18 or over.	£20.00
	OWA Member - Student Member of the Old Wimbledonians Association who is under 25 and attended Wimbledon College or Donhead School. This membership is free, and will convert to Ordinary membership when the member reaches 25. Membership is required to join any of the Sports Sections. Only available to people between the ages of 18 and 25 inclusive.	£0.00

Rugby - Warriors Section

Category	Requirements	Cost
Rugby Warriors (1st Child) Junior Member of Warriors RFC. Only available to people up to the age of 18.	Junior Member	£210.00
Rugby Warriors (2nd Child) Junior Member of Warriors RFC. Families with more than one enrolled child receive a discount for each child. You should only choose this membership option if registering a second child to join the Warriors. Only available to people up to the age of 18.	Junior Member	£145.00
Rugby Warriors (3rd Child) Junior Member of Warriors RFC. Families with more than one enrolled child receive a discount for each child. You should only choose this membership option if registering a third child to join the Warriors. Only available to people up to the age of 18.	Junior Member	£115.00
Rugby Warriors (4th Child+) Junior Member of Warriors RFC. Families with more than one enrolled child receive a discount for each child. You should only choose this membership option if registering a fourth or additional child to join the Warriors. Only available to people up to the age of 18.	Junior Member	£0.00

Data Protection

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Signature

Date

Please return completed forms to: Old Wimbledonians Association, 143 Coombe Ln, West Wimbledon, London, SW20 0QX

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.

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Alternative contact details

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Subject

Message

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Title

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	ID	Purchaser	Purchase	Amount	Due Date	Allocated Amount
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						£

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