Membership Application Staff Sports Club Application "*" indicates required fields Step 1 of 2 50% STAFF MEMBERS NAME (Adult 1)* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Is this a new application or a renewal from the previous membership year? Renewal (with no changes) New Application CONTACT INFORMATIONAddress* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Date of Birth* DD slash MM slash YYYY Phone*Department*Please inform us of which department you are employed with.Vehicle Registration No., Make and Colour*Emergency Contact Name*In the event of an emergency please provide us with the name of the person you would like us to contact. First Last Emergency Contact Number*Please provide us with the contact number of your emergency contact listed above.FAMILY MEMBERSHIPStaff Sports Club membership is offered to any family members who reside at the same address as the staff member. Please include any family member you wish to join the Sports Club in the relevant fields below.Do you have family members (residing at the same address as you) that would also like to join the Sports Club?* Yes No Renewal (no changes) Adult 2 First Last Adult 2 DOB DD slash MM slash YYYY Additional AdultsIf you have any additional adults such as Students (18yrs-21yrs) residing at your address please list their name and DOB (dd/mm/yyyy) below. Children (up to 18 years)If you wish to add any children to your Sports Club membership please list their names and DOB's (dd/mm/yyyy) below. IMPORTANT INFORMATION REGARDING UNDER 18 USE OF FACILITIESGYM USE - Children aged 14 - 17 yrs old are only permitted to use the Fitness Studio (no Woodlands Performance Studio Use permitted) at the designated times as advertised on the Sports Club opening times. A PAR Q form must be submitted. Children MUST be supervised by their own parent / guardian. No U18 group sessions permitted. GOLF COURSE & TENNIS COURTS - Children under the age of 16 years old must be supervised by an adult at ALL TIMES. U18 Gym Use Consent* I agree to abide by the above U18 Sports Club members use. PRIVACYCranleigh School and Cranleigh Enterprises will store and use your personal data to enable the Sports Centre to provide the best possible service with regard to your membership. We will never pass your data to a third party without your permission. Our full Privacy Policy is available for you read at https://www.cranleighactivities.org/policies. Several times a year Cranleigh School Sports Centre send out a newsletter to our members informing them of relevant news about the Sports Centre and upcoming events and offers. Please tick the above if you would like to receive this. You can change your mind at any time and there is the option to unsubscribe from them at the bottom of each email. We would also like to be able to contact you about new facilities, courses and opportunities that we think may be of interest to you. Please tick the above if you would like to receive this. You can change your mind at any time and there is the option to unsubscribe from them at the bottom of each email.Newsletter Consent I would like to receive the newsletter from Cranleigh School Sports Club. Marketing Consent I would like to receive marketing emails about new facilities, courses and opportunities at Cranleigh School. SPORTS CLUB TERMS AND CONDITIONSPAR Q FORM Myself/ Family member intend to use the gym and therefore have completed and returned a PAR Q form.Terms and Conditions* I have read the Sports Club terms and conditions and agree to be bound by them.
