I wish to make application to join the Surrey County Indoor Bowling Association (SCIBA)
Website User List and agree that, if accepted, to abide by the rules as published.

In order that the County is aware of Users' bowling expertise, it would be appreciated
if you would kindly indicate your bowling experience in the space provided below.

Please Enter details below, and then click

Membership Type:	Select New Bowling MemberSocial Member Select Type of Membership Required
Mr / Mrs / Ms etc	Select MrMrsMsMissDrRevSelect the style for you to be addressed
First Name(s)	Enter your First Name
Middle Name(s)	Enter first of any middle names you may have    Enter second of any middle names you may have
Surname	Enter your Surname
Nickname	Enter the name by which you prefer to be called
Gender	Select MaleFemale Select your Gender
Address 1	Enter 1st line of your address
Address 2	Enter 2nd line of your address
Address 3 - Locality	Enter (or select) your local area
Address 4 - Town	Enter (or select) your town/city
Address 5 - County	Enter (or select) your county
Postcode	Enter your Post Code
Preferred Phone Number	HomeMobile Select which is your preferred phone number
Home Phone Number	Enter your home phone (landline) number
Mobile Phone Number	Enter your mobile phone number
Email Address	Enter the first part of your emaila address (the section before the '@' sign)  @  Select (or enter) the trailing part of your email address (e.g. gmail.com)
Date of Birth	Enter your Date of Birth - this is essential as we are required to submit statistics (by age agroup) to our National Governing Bodies
Occupation	Please select (or enter) your Occupation (or previous occupation if you have retired) - this helps us to identify the skills available within the County
Retired?	Not RetiredRetiredPlease indicate whether you have retired or not
Bowling Experience	Please select (or enter) your level of Bowling Experience
Outdoor Bowling Club	Please select (or enter) name of your Outdoor Bowling Club
Indoor Bowling Club	Please select name of your Indoor Bowling Club
Indoor Bowling Club Abbr	Abbreviation for your Indoor Bowling Club
Date County Badge Awarded	Enter Date County Badge awarded - leave blank if Badge not awarded (yet!)
Dietary Requirements	None No Special DietVegetarianVeganDiabeticDiabetic Type 1Diabetic Type 2Gluten FreeVegetarian and Diabetic 2Please select any Dietary Requirements you may have
Third Party Marketing?	Marketing OKNo MarketingWe may occasionally send details of promotions from our County Sponsors. Please indicate whether you wish not to receive any of these
System Automated Emails?	Auto Emails OkNo Auto EmailsThe System will occasionally send out automated emails regarding Forgotten Passwords, Match Applications/Selections etc. Please indicate whether you wish not to receive any of these

Users of Surrey County Indoor Bowling Association website are required to provide
personal information on Application Forms.
This is for administrative and welfare purposes and users are asked to ensure their
information is accurate and up to date.

Members' details are kept on a computer database and are processed fairly, lawfully and
in accordance with the county's legitimate activities.

Users' names, addresses, telephone numbers and e-mail addresses are posted on the Members'
section of the club website, which is password protected. Members may, if they wish, print out
a copy for their personal use.

Any member who wishes their information to be withheld must advise the County Secretary.