RMBC Application Form
Name
Spouse or Civil Partner's Name
Applicant's Profession
Partner's Profession
Children under 18
Child 1
Date of birth for child 1
Child 2
Date of birth for child 2
Child 3
Date of birth for child 3
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Postcode
Telephone
Mobile
email
Class of membership
Family members are the applicant with spouse or civil partner, plus any children under 18.
Full member is the applicant only
Associate member is bona fide member of the crew
Family Associate member is an associate member as above, but including their spouse or civil partner and any children under 18
Membership Type
Full
Family
Associate
Family Associate
Are you a student
Yes
No
If you have previously been a member of any boat clubs please list membership here
I will require a mooring
Yes
No
Boat Name
Boat Make
Boat Length
Boat Beam
The following members of RMBC are known to me
Please state if there are any reasons why you would be unable to complete any duties required
Proposer (Can be added later)
Seconder (Can be added later)
I would be happy to opt-in to having my application form displayed in the clubhouse for other members to see, until my application has been fully processed by the committee:
Yes
No
I would be happy to opt-in to having my name, boat name, email and contact details, in an on-line yearbook within a secure website:
Yes
No
I would be happy to opt-in to having my name, boat name, email and contact details in a hard copy yearbook:
Yes
No
I would be happy to opt-in to having my or my crew's photograph used in Hornblower, the club's website, or Facebook page:
Yes
No
I would be happy to opt-in to having my name, boat name, email and contact details, in a hard copy duty rota:
Yes
No
I would be happy to opt-in to having my name, boat name, email and contact details, in a on-line duty rota within a secure website:
Yes
No
In all the above, "member" refers to the whole family and includes any opt-in for the whole family.
I understand that if I moor a craft in the marina, it must be within the dimensions laid down in the mooring rules and details must be notified to the harbourmaster, before using an allocated mooring. The information provided in this form and any other information provided during the course of your application, will be used solely for the processing of your application, including payment processing, and if elected to membership, dealing with you as a member of RMBC The data will not be shared with any third party for marketing or commercial purposes with the exception of Canal and River Trust, for boat licensing. Upon leaving the club, all your data will be erased except for any required by HMRC. The club's records are kept on a cloud computing sytem. Data may be held outside the EEA and could be required by the local justice, Her Majesty's Revenue and Customs
I agree