Join The Alcott - The Alcott

Type of Form

Member Number

Personal Details

Title

First Name*

Last Name*

Date of Birth*

Phone*

Email*

Occupation*

The NSW Government requires that we collect occupation information of our members.

Other Occupation (if required)

Residential Address

Address*

Suburb*

Postcode*

State*

Country*

Would you like to enter a different postal address*

Yes
No

Postal Address

if different from residential address

Address*

Suburb*

Postcode*

State*

Country*

Membership Type

Membership Options*

* Life Membership

ID and Signature Declaration

ID Number*

Acceptable forms of Identification include Driver’s License, Photo ID Card and Passport. Please ensure you bring this with you when collecting your card at The Alcott.

Signature Text

Please type in your name

Verification*

By checking this box I verify that I have digitally signed this membership form.

Signature

DECLARATION
To the Directors, I hereby apply for election as a member of The Alcott. I am 18 years old or over and if elected agree to abide by the constitution and By-Laws of the Club.

Privacy Statement

The Alcott is subject to the provisions of the Privacy Act 1988 (Cth). The personal information provided by you on this form/application and attached documents will be used to process your membership application. Failure to provide all of the requested information may result in your application being rejected. You have a right to access and correct any of your personal information that the Club holds on you. The Club does not usually disclose your personal information to any other organisation or person unless there is a legal requirement to do so. The Club may disclose your information to third parties that are contracted to the Club. These contracts require the third party to keep your personal information confidential and secure. Your personal information, may be used by the Club for marketing purposes to improve our services and to provide you with the latest information about those services and any new related services and promotions. You can opt out at any time.

Membership Refund Policy

Upon cancellation of ones membership, Financial Members are not entitled to a refund or part thereof

Cashless Gaming Terms and Conditions

All persons who play gaming machines in this Club agree they do so subject to conditions of gaming machine play and the following rules which shall be the terms and conditions for use of card-based gaming at North Sydney Leagues Club Ltd group including Seagulls Club, The Alcott and The Greens North Sydney. If you do not agree to these terms and conditions, you must not play the gaming machines or use the card-based gaming functions. The decision of the Club as expressed by its officers and/or employees as to the interpretation of these rules shall be final. The Club, by law, can only issue one player card per person. The person must be over 18. If your card is lost or stolen, you must immediately report this to the Club. A replacement card will be issued once you have completed the necessary declaration required by the Club. You must not have more than one player account open at this Club at any one time. The security of money in player accounts is the responsibility of the both the registered club and the account holder. The government and its agencies take no responsibility for any losses that might occur from the account. An account holder is solely responsible for ensuring that the account holder's personal identification number ("PIN") is kept confidential and that no other person has access to the account holder's player card. The account holder is liable for any losses that might arise from, or in connection with, the account holder's failure to comply with such responsibilities. The account holder may at his/her discretion set a weekly account limit by written request to the Club. The setting of a weekly account limit may also include arrangements for the deactivation of the account card. If a weekly account limit is set the player may alter the limit by written request to the Club. If the player wishes to decrease the weekly account limit, the decrease will take effect within 24 hours of the request being received. If the notice is to increase the weekly account limit, the increase will not take effect until 48 hours after the notice is given to the Club. By participating in card-based gaming at North Sydney Leagues Club Ltd or associated Clubs, you agree and are bound by these terms and conditions, as may be varied by the Club’s member notice board. Monthly player activity statements are available on request, if the account has been active, free of charge. If a player requires a copy of previous activity statements, a charge may apply. You have the option of whether or not you wish to participate in card-based gaming at North Sydney Leagues Club Ltd or associated Clubs at any time. If you do not wish to participate, please notify the Club immediately in writing. Under Section 97 of the Gaming Machines Regulation, 2010, persons issued with a player card have the option of whether or not they wish to participate in the loyalty scheme by the Club. If you do not wish to participate in the player reward scheme at any time please notify the Club immediately. The Club takes no responsibility for any losses the player incurs as a result of playing gaming machines at the Club whether by coin, cash or membership rewards card. The player acknowledges that certain linked jackpots may be electronically transferred to a winning machine’s credit meter. Player accounts are not permitted to hold more than $5,000. If this amount is exceeded you will need to adjust your balance before you account card will operate a gaming machine. The money held in player card accounts is kept separte and not used for any other purposes. Any interest that may be accrued on a player card account fund held by the venue will be distributed to a designated charity. Think about your choices | Call Gambling Help 1800 858 858 www.gamblinghelp.nsw.gov.au