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Request an opportunity to see the White House
Application Form
admin
2018-08-23T11:10:02+00:00
Application Form
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Please read the whole application form before starting to fill in your information as you cannot save the form half way through the application process.
* Required fields
1st Applicant
Title:
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Forenames:
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Surname:
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Date of Birth:
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Marital Status:
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Occupation (if retired, former occupation):
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BN Membership Number - If BN member (Optional):
Mobile Number:
Email Address:
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2nd Applicant (Optional)
Would you like to add a second applicant?
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Yes
No
Title:
Surname:
Forenames:
Date of Birth:
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Marital Status:
Relationship to 1st Applicant:
Occupation (if retired, former occupation):
BN Membership Number - If BN member (Optional):
Mobile Number:
Email Address:
Contact Details
Full Address:
*
Landline Telephone Number:
Would you like to receive news and events by email?:
*
Yes
No
Your e-mail address will only be used by the White House Club and not passed to any other organisation.
If you select "No" then we will only use your e-mail address for sending invoices and other personal correspondence.
If you select "Yes" then, in addition, you will receive club news bulletins and information from time to time.
Children joining with parents (Optional)
Child 1 Name:
Child 1 Date of Birth:
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Child 2 Name:
Child 2 Date of Birth:
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Child 3 Name:
Child 3 Date of Birth:
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More Information
How did you hear about the Club?:
*
Have you applied for membership before?:
*
Yes
No
If yes, when was that?:
If you know any present member(s) if this club, please give their name(s):
Details of membership (current or past) of any other naturist club(s) including name(s) and dates:
Can we contact them for a reference?:
Yes
No
If yes, please give contact details:
Have you ever been excluded from or refused membership to any naturist organisation?:
*
Yes
No
If yes, please give details:
Please describe your previous experience of naturism:
*
What are your reasons for wanting to join the White House?:
*
Professional capacity or talents which you would be prepared to use helping the club?:
The White House Club is a family orientated Naturist Club run by the Members. It is important that new members support the ethos of the Club. Please note that genital body piercings are not welcome.
I/We understand that my/our application is subject to the Directors’ right to refuse interview or membership or renewal of membership in their absolute discretion, without assigning any reason for so doing.
I/We undertake to provide proof of identity and separate proof of address if invited to visit the club for an interview. If accepted for membership, I/We agree to abide by the rules and code of conduct of the Club. I/We do not object to details of our membership being held on computer; (such records being for use by the White House Club only.)
I/we confirm that I/we confirm that I/we understand that I am/we are responsible for the supervision and safety of my/our child(ren) under the age of 18 at all times on club premises.
This form places no obligation on the applicant(s) to join and the information given will be treated in the strictest confidence.
Please also submit a passport sized head and shoulders photograph of each adult applicant.
Upload Images
Accepted file types: .jpg .jpeg .png .gif .pdf
Maximum file size: 5mb
1st Applicant Photo:
2nd Applicant Photo:
Note: You can skip this section and send the photos directly to
info@whitehouseclub.org.uk
.
By submitting this form, you are agreeing that the information provided above is true and accurate to the best of my/our knowledge.
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