Western Province Cricket Club · Newlands Senior Membership Application Season 1 June 2026 – 31 May 2027 · Applicants aged 19 and over i The applicant Title — AdvDrMr MrsMissMs ProfRevOther First name(s) required Surname required Gender Male Female Nationality required Date of birth required South African ID number Leave blank if you do not hold an SA ID. Occupation ii How we reach you Primary email required Alternative email Cell required Home Work Fax iii Addresses Postal address Street Street line 2 City Region Country Post code Residential address required for your category Same as postal address Street Street line 2 City Region Country Post code Country and International members must attach proof of residential address. iv Your connection to the club Do you have relatives who are already members? Add another relative Other clubs you belong to, or have belonged to Add another club Were you referred by a member in good standing? Member’s full name Membership number v Membership and fees When would you like to start using the facilities? Subscriptions are pro rata — the later you join, the less you pay for this season. Entry fee Membership card & administration R150 Charged once, to every new member. Subscription choose one Sporting sections optional, choose any A section you join is charged to your account each year until you cancel it in writing to the Club Manager. Note Clause 24.5 of the Constitution: with limited exceptions, members may not play league sport for another club without the Committee’s consent. Other activities no charge to register interest vi Declarations Have you ever had a club membership application refused, or been asked to resign, expelled or suspended by any club? No Yes Please give details Have you ever been convicted of a criminal offence? No Yes Please give details Have you previously been a member of WPCC and resigned voluntarily? No Yes Reason and year of resignation vii How you will pay Please describe viii Confirm and send I certify that the information above is true and correct, that I have read and understood the WPCC Constitution, and that I am bound by its rules and regulations. Type your full name as signature required Date Send application Print a copy The Membership Committee reviews every application. We will confirm by email once it has been considered.
