Download and complete the Phar Lap Club Membership application

phar lap club membership
A P P L I CATI O N F O R M • 0 - 1 1 YR S
Join our children’s Club at Flemington
Upon joining you will automatically be registered as a Victoria Racing Club (VRC) Phar Lap Club Member.
VRC Phar Lap Club Membership Benefits
– Welcome gift pack upon registering
– Admission to all Flemington Racemeetings
– Active personalised Phar Lap Club Membership card upon Membership payment*
– Invitation to FREE Phar Lap Club parties held at Flemington Racecourse
– Phar Lap Club emails and newsletters with the opportunity to enter exclusive competitions
– An offer for VRC Junior Membership upon turning 12 years old
– Major prize draw for most frequently attending Members*
*Excluding the four days of the Melbourne Cup Carnival. Children aged 15 years and under will be admitted free of charge when accompanied by an
adult on all four days of the Melbourne Cup Carnival, cards will not be scanned on these days.
VRC Phar Lap Club Membership Fee
Phar Lap Club has an annual subscription of $5.00
All prices include GST.
The Flemington and VRC logos are TM, Victoria Racing Club Limited
Important Information
Please note that Phar Lap Club Members are not able to enter licensed areas of the Club unless accompanied by an adult.
The VRC does not condone underage drinking or gambling.
The VRC (or its authorised photographers) may take photographs of you, the children or their guests within the Phar Lap
Club during events. The VRC may use these images in Phar Lap Club publications or in other printed publications that the
VRC may produce, as well as on our website. The VRC may also make videos from time to time to help promote the Phar Lap
Club’s activities.
Various media agencies may attend Phar Lap Club events and they may take photographs or film footage at such events. Phar
Lap Club Members will often appear in these images, which may appear in newspapers, websites or on televised programmes.
By attending Phar Lap Club events, you consent on behalf of your child and their guests, to the use of images of your child
or their guests as described above.
All children under the age of 18 are to be supervised by a parent/guardian at all times while at Flemington Racecourse.
Victoria Racing Club Limited (ACN 119 214 078)
448 Epsom Road, Flemington VIC 3031.
Ph: 1300 727 575 Fax: (+61 3) 8378 0661
Web: pharlapclub.com.au Email: [email protected]
facebook.com/flemingtonracecourse
@FlemingtonVRC
phar lap club membership application
Applicant’s Name
TITLE
GIVEN NAMES
SURNAME
Please tick
MALE
FEMALE
I, the parent/guardian of the applicant hereby apply for Phar Lap Club Membership of the Victoria Racing Club Limited, for and on behalf of the applicant.
1
Date of birth of the applicant (must be between the ages of 0 - 11)
2
Residential address
P/Code
3
Postal address (If it differs from above)
P/Code
Parent/Guardian Home Phone
Parent/Guardian Mobile
Parent/Guardian Email
4
Names of other clubs which candidate is a Member
Declaration
I agree/I agree as the applicant’s parent or guardian, to be bound by, and comply with, the terms of VRC’s Constitution, its By-Laws, event and entry terms and conditions
and the behavioural protocols published by the VRC from time to time. I hereby declare these answers given above are true and correct and that there is nothing to my
knowledge which would debar my child from becoming a Member of the Club, nor have I withheld any information likely to affect my child’s eligibility for Phar Lap Club
Membership. I agree to ensure that my child observes and complies with the Constitution and By-Laws of the Club, which are available on vrc.net.au or via Customer Service
on 1300 727 575.
Choose your privacy preferences
You are automatically ‘opted in’ but can update or change your preferences at any time by completing this Privacy Preference checklist and returning to us, or by contacting
Customer Service on 1300 727 575 or [email protected].
Stay informed – You will receive a range of communication to help you keep informed of the latest VRC news, competitions, promotions, events and industry news.
No thanks
Publications – You may receive magazines and other informative publications that we produce from time to time.
No thanks
Help us improve our products & services – Your personal information may be disclosed to third parties engaged by us to conduct research regarding your satisfaction with
quality and service, your attitude towards new initiatives to help us develop our products & services, and other feedback.
No thanks
Consent and Indemnity
I have read the above information and confirm that my declaration on behalf of my child is correct.
I consent to and authorise the application by my child to become a Member of the Club and in consideration of the Club admitting my child to Membership of the Club, I
agree to indemnify the Club against any liability incurred by the Club or any damage, loss, injury or cost suffered by the Club as a result of any act or omission of my child,
or by any guest of my child.
I consent to my child attending any events conducted by the Club at Flemington. Please note that children and their guests must be supervised by a parent or guardian
at all times when they are attending any Phar Lap Club events conducted by the Club at Flemington and remain the responsibility of the parent or guardian. To the extent
permitted by law, the Club does not accept any responsibility for the health or safety of your child and their guests and the Terms and Conditions of Entry apply to you and
your child or their guests whilst attending at Flemington. Those Terms and Conditions of Entry can be found on our website vrc.net.au/terms-conditions/
Signature of Parent/Legal Guardian
Date
Name of Parent/Legal Guardian
Address
Date
Member No:
Parent/Legal Guardian VRC Member ID (if applicable)
N.B: An acknowledgment of receipt of this form will be forwarded to the applicant.
Membership Type
Phar Lap Club Member $5
Subscription payment (please circle)
MASTERCARD VISA AMEX DINERS
Card No
Exp. Date
Cardholder’s Name
Amount
Cardholder’s Signature
Phone
/
$
FOR OFFICE
USE ONLY
Privacy Notice: VRC is collecting your personal information for the purpose
of considering your Membership application. Your personal information
may be used to investigate whether you are a fit and proper person to hold
a Membership. If your Membership application is accepted your personal
information may be used and disclosed to our staff and third parties including
service providers, to facilitate your Membership and its benefits. In addition,
unless you opt-out, your personal information may be used for direct marketing,
sending you publications and quality and improvement initiatives. If you do not
provide the information requested we will be unable to process your application.
If you would like to access any personal information we hold about you or to
change your privacy preferences, contact our Customer Service Team on
1300 727 575. To see our full Privacy Policy go to vrc.net.au.
Club Services Department, Victoria Racing Club Limited (ABN 32 119 214 078)
448 Epsom Road, Flemington VIC 3031 Phone: 1300 727 575 Fax: (+61 3) 8378 0661 Email: [email protected] Web: pharlapclub.com.au

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