Membership Form PLG Membership FormAPPLICANT DETAILSFirst NameLast NameAddress of club memberAddress Line 1Address Line 2TownCountyPost CodeEmailMembers Email AddressMobile Phone No.Members Mobile NumberDOBdd/mm/yyyyAgeAge on the 1st January for the year that you are paying your membership fee.Medical AilmentsDo you have you any medical ailments that we, as a club, should be aware of? No YesAilment DetailsIf your answer was 'YES' to Medical Ailments, please enter details of your ailments - (Confidentiality will prevail)I will update the club of any changesDo you agree to update RLSS Poole Lifeguard, should your circumstances change, during the membership year! I agree to update RLSS Poole of any changes to my Medical Ailment StatusMEMBERSHIP DETAILSMembership ApplicationAre you joining for the first time or are you renewing your club membership? i.e. have you been a registered member of RLSS Poole Lifeguard in the past? NEW MEMBERSHIP RENEWALMembership NumberThis is your existing club membership number starting with 21xxxxMembership YearMembership year is from 1st Jan to 31st Dec 2026Membership CategoryOnly select "Reduced Membership" if you are joining as a 'New Member' between 01st Sept and 30th November. Full Membership Reduced Membership if applying between 01st Sep to 30th NovMembership TypeFamily Membership: is purely a financial package made up of 3 or 4 club members living in the same household e.g. (2 over 18yrs and 1 under 18yrs), (1 over 18yrs and 2 under 18yrs), (1 over 18yrs and 3 under 18yrs), (0 over 18yrs and 3 under 18yrs) Individual Membership Family MembershipMembership Type Individual MembershipInd Membership CategoryThose under 18years of age on 1st Jan are Juniors for that year. Senior - full year £50.00 Junior - full year £40.00 Supporter - full year £30.00 Life Member - full year £0.00 Guest Member £5.00Reduced Period CategoryThose under 18years of age on 1st Jan are Juniors for that year. Senior - 01st Sep - 30th Nov £25.00 Junior - 01st Sep - 30th Nov £20.00 Supporter - 01st Sep - 30th Nov £15.00 Guest - 01st Sep - 30th Nov £5.00Family Membership FeeA separate Membership Form MUST be completed for each family member >> Select Family Membership Full Year £100.00 for first (Parent Applicant), and >> Then select either Senior £0.00 or Junior £0.00 for all subsequent submissions for your family members. Family Membership Full Year - £100.00 Senior - Part of Family Membership - £0.00 Junior - Part of Family Membership - £0.00 Supporter - Part of Family Membership - £0.00PARENT / GUARDIAN DETAILS If Applicant is Under 18Parent / Guardian NameName of Parent or Guardian if applicant is under 18 years old.Parent / Guardian EmailParent or Guardian Email if applicant is under 18 years old.Parent / Guardian Mobile No.Parent or Guardian Mobile No. if applicant is under 18 years old.FREE CLUB TSHIRT Anybody joining our club for the first time is entitled to a free RLSS Poole Lifeguard Club T-shirt. Therefore please select the 'Style of Tshirt' followed by the 'Size' you would like. T-Shirt Age Category Junior T-Shirt - Age 9 -16 Senior T-Shirt - Age 17 upwardsJunior T-Shirt Size Chest 28inch Chest 30inch Chest 32inch Chest 34inch No Thank You!Senior T-Shirt Size Chest 36inch Chest 38inch Chest 40inch Chest 44inch Chest 46inch Chest 48inch No Thank You!CLUB DISCLAIMER 1) I the undersigned apply for membership of RLSS Poole Lifeguard2) I agree to abide by the Constitution and Rules of the Club, which can be located at Document Library3) I understand that the Club is fully committed to safeguarding the well-being of all its members, particularly children, and that all members are expected to show respect and understanding for the rights, safety and welfare of others, and conduct themselves in a way which reflects the principles of the Royal Life Saving Society UK. RLSS Poole Lifeguard's Safeguarding Policy can be located at Document Library4) The Club expects members, instructors and trainers and parents to deal with each other with respect. Parents/Guardians agree to remind their children that disrespectful behaviour towards our volunteer instructors and officers is not acceptable. Any such behaviour, from any member, may result in them being removed from a training session or being asked to leave the club. RLSS Poole Lifeguard's Code Of Conduct Policy can be located at Document Library5) I also understand that my membership is renewable on an annual basis, and that it will be due, during the month of December, for the following calendar year.Club Disclaimer I Understand and Agree I dont agreeNon AgreementPlease enter what you do not agree with, and we will get in contact with you and discuss whether we can continue to process your application for club membership.CRIMINAL OFFENCES 6) Applicants are advised that under regulations made under the Rehabilitation of Offenders Act 1974, you should declare all relevant matters including 'spent convictions'. This however, does not include speeding, careless driving, depositing of litter or other matters which might reasonably be regarded as minor. If in doubt, please speak in confidence to the Chairman/Hon Secretary before answering this question. This information is required because as a trainee Lifesaver/Lifeguard you will be working with children and young people).Have you ever been convicted of a criminal offence or been the subject of a caution or a bind-over order?Do you have any offences that we, asa club, shoudl be aware of. No YesDetails Of Offence(s)Please state the nature and dates of the offence(s).I will update the club of any changesYou agree to update RLSS Poole Lifeguard, should this change, during the membership year! I agree to update RLSS Poole of any changes to my Criminal Offence StatusPERSONAL DATA 7) As part of your membership application, your details will be added to the Club database. These details are used solely for club purposes and are not given out to third parties. Your details are used to communicate the occasional club notice and or club E-Newsletter to you. On receipt of the E-Newsletter you will have the option to unsubscribe from it should you so wish. We will also use SMS messaging and social media apps as tools to communicate information to and from members and Parents/guardians about the day to day running of the clubPersonal Data I understandPUBLICITY PHOTOS 8) On occasions we take photographs of our club members and their activities / achievements for use as publicity/promotions for the club and it’s aims. Do you give permission for photographs that may contain images of you, or your child, to be used for such purposes, eg on our club noticeboard, website, social media and or press to promote the clubs activities.Photos I give permission I do not give permission I give permission so long as the identity is obscuredDATA DECLARATION 9) By signing the Member Signature Field below, you declare that the information that you are about to submit in this online form is correct and true and consent to Poole Lifeguard Club processing my data in accordance with currently accepted GDPR protocols. RLSS Poole Lifeguard Club complies fully with the requirements placed on us by UK GDPR, the Data Protection Act and RLSS UK Qualifications in relation to the handling, storage and sharing of data. Details of how the club comply with the current UK GDPR regulations can be found at Document LibraryAccuracy of Data Entered I confirm that the data provided in this form is accurateSUBMIT FORM Member SignatureEntering the name of the person completing this form is sufficient for signaturePlease double check your membership category below, beofre proceeding.Date of ApplicationToday's DateSubmit Form