Junior Membership Form

Is this a new membership application? *

Yes

Junior Member

First Name *

Last Name *

Date Of Birth *

Membership Number (if known)

Guardian 1 First Name *

Guardian 1 Last Name *

Guardian 1 Membership No.

Guardian 1 Email Address *

Guardian 1 Phone Number *

Guardian 2 First Name *

Guardian 2 Last Name *

Guardian 2 Membership No.

Guardian 2 Email Address *

Guardian 2 Phone Number *

Manuals, Steamers, Trailer Pumps, Etc.

How Many Manuals Etc. Do You Own

Year

Type

Make & Model

Original Brigade

Present Condition

Year

Type

Make & Model

Original Brigade

Present Condition

Year

Type

Make & Model

Original Brigade

Present Condition

Year

Type

Make & Model

Original Brigade

Present Condition

Year

Type

Make & Model

Original Brigade

Present Condition

Models and Memorabilia

Badges

Memorabilia

Helmets

Models

Books

Photographs

Declarations *

I confirm that I will abide by the Constitution & Code of Practice.

I further confirm that I shall not hold responsible the Officers, Committee and Members, individually or collectively, in the event of any accident, loss of life or property and/or damage arising from participation in any Group activity.

I understand that a copy of the current Constitution & Code of Practice can be downloaded from our website.

I confirm that filling out this form with false information could void my membership to the FSPG, nullifying my protections under FSPG Insurance

I give permission for the Executive Committee to share details of my appliances, models, manuals, etc. to other members of the group, to allow them to get in contact with queries regarding my vehicles etc. *

Yes

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