Application Form to go on the Waiting List for Membership of the Chichester & District Angling Society
This form may be used to apply for: Full Membership only (no applications for associate members are available at the moment)
Mr/Mrs/Miss/Ms
First Name
Surname
House No/Street
Town
County
Post Code
Home/Mobile No.
Email Address
*Please supply details of Membership of any
other Angling /Society/Syndicate in the last 5 years?
1
2
Please tick the appropriate answer.
*Do you fish any Day Ticket Waters?
YesNo If yes please give details
1
2
Have you ever been suspended or banned from any
Angling Club/Society etc.?
YesNo If yes please give details
Would you be available to help with Work Parties in the Close Season?
YesNo This is not compulsory, please be honest with your answer.
*Have you any skills/equipment that you feel could help the society in any way?
YesNo If yes please give details
1
2
All applications must be accompanied by 1 x Passport size Photograph
GDPR
We securely hold details of name, address, home telephone or mobile number, e-mail address, age, an image and membership category. The data is held to enable us to produce your membership book and to contact you with regard to Society matters. Chichester & District Angling Society will not disclose your personal data to any third party.
*1By signing this form, you are giving permission to process your personal data specifically for the purpose identified. You may withdraw your consent at any time. Details of how to withdraw your consent are on the website or contact the Club Secretary Tel: 07921819379 The full version of our GDPR statement may be viewed on the Society website or we can send you a printed copy if requested.

I, the undersigned, wish to be considered for membership of the Chichester & District Angling Society, and if accepted, I agree to abide by the Society's rules and By-laws and take an active part as possible in the Society's activities. I promise not to leave litter of any kind after fishing especially hooks and line and to observe waterside courtesy to other anglers. C.D.A.S. reserve the right to decline an application without offering a reason N.B Full memberís joining should be aware that if they subsequently move outside the 12 miles radius of Chichester within 24 months from the date of joining their membership status will change to Day Associate (no night fishing).


*1Signature:____________________________________________________________ Date:____/____/________
Please be aware that all applications go before the CDAS committee which sits on the 2nd Monday of each month.

All correspondence should be sent to:
C.D.A.S PO Box 3231, Littlehampton, West Sussex BN17 6YB.   Tel: 07719816977
LEFT CLCK/TAP PRINT FORM
*If more than two please write details on the reverse.
PLEASE MAKE SURE ALL DETAILS ARE CORRECT BEFORE PRINTING
PLEASE NOTE WHEN USED ALL WORDING BELOW PRINT FORM BUTTON ABOVE, WILL NOT BE PRINTED