Please select your membership type *
AffiliatedNon-AffiliatedNon-BowlingJunior
Full Name *
Phone (Home)
Mobile
Email Address *
I authorise Everton Park Bowls Club to use my email address for contact and database purposes
Street Address *
Suburb
Postcode
Date of Birth *
Present Occupation
Only complete this section if the applicant is under 18 and applying for Junior membership.
Parent or Guardian Full Name
Relationship to Applicant
Parent or Guardian Mobile
Parent or Guardian Email
I am the parent or legal guardian of the applicant named above. I consent to their application for Junior membership and I agree to the declaration below on their behalf.
Are you, or have you ever been, a member of a bowls club? *
YesNo
If yes, please state the name and address of the club/s
Do you intend to remain a member of another club? *
Umpire
Coach
Masters
If Masters - please select applicable
SinglesPairsFours
Have you in QLD or elsewhere been suspended, expelled or refused admission to any bowls club? *
If you have been a member of a bowls club, have you fulfilled all financial obligations? *
YesNoNot Applicable
Do you, or have you ever held an administrative position in a bowls club? *
If accepted as a member, do you intend to play bowls? *
If elected to membership, I agree to comply with and be bound by the Constitution and By-Laws of Everton Park Bowls & Community Club Inc. Where the applicant is under 18, this declaration is made by the parent or guardian named above.
I agree to the above declaration
Your physical signature and payment will be completed when you visit the club to pick up your membership card.
