Apply for membership

To express an interest in becoming a member you will need to fill out an application form and medical form. You can fill out our Online Application form below or download both forms. Potential members will be assessed.

Application Form

Medical Form

Online Application Form

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

(###)

###

####

Mobile

(###)

###

####

PPS or Medical card

Activities / Interests

Next of Kin

Next of Kin Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Next of Kin Phone

(###)

###

####

Apply for Membership

To express an interest in becoming a member you will need to fill out an application form and medical form.

Application Form
Medical Form

Make a Donation

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Charity Reg. No. is 20014124 CHY Number is 6987

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