April15 Edition

Membership Form

Iver Heath Drama Club

Name:
Date of Birth

DD

MM

YYYY

Address
Town
Postcode

Telephone / Mob
Email

@
Type of Membership Tick as appropriate

2.00 per Week

Full Membership

Free

Associate Membership

Regularly attend rehearsals and shows

Supporter of the club. All under 16s must have at
least 1 parent or carer signed up as an associate
member.

Did you know the drama club is on the below website?

Please cross the ones you do not use/follow the club on.

Twitter @IHDC / Facebook / Tumblr / YouTube

How often do you visit our Facebook page or our website/blog
www.ihdc.co.uk ?
Less than twice a month / 2-3 Times a month / Once a week / More than once a week
In case of Emergency
please contact:

If your emergency contact is another member, full or associate, please write their
name and indicate this on the form below.

Name
Relationship
Mobile Number

I hereby agree that the information on this form is correct and I will do my best to honor and uphold the
constitution and the policies of the Iver Heath Drama Club. I understand that the constitution and all the
policies along with songbooks and show information are on the website. Paper copies are available upon
request. I understand my information will be kept by the club and that I will recieve communications relating
to club news and events.
PRINT NAME
SIGNATURE
If the member is under 18 years of age please print the name of the parent or
carer who is agreeing to be an associate member and agree to our membership
terms on the child's behalf.