Page 1 of 1

Red Star Squash Club

PO Box 383 Masterton Ph. 377 1990

Membership Application Form

Full Name: (MR/MRS/MISS/MS) _____________________________________

Address: _____________________________________

_____________________________________

Date of Birth: ________________ Occupation: _______________________

Home Ph: ________________

Work Ph: ________________

Cell phone: ________________

Email Address: _____________________________________________

Have you played Squash before? ________________

If Yes Grade: ___________

Previous Club: _______________________

As a member of Red star Squash I agree to:

a) Pay the season’s subscription as set by the committee

b) Conform to the rules and regulations of the club and such by-laws and resolutions as

may be enforced from time to time.

Signature: ________________

________________________________________________________________

For office use only:

Membership Type: ________________ Initial Payment: ________________