Registered Charity: 297221

Title:
First Name: Last Name:

Email Address:

Mobile:
Home Phone:

Postal Address:
Post Code:

Contacts names & numbers In case of emergency, illness, or untoward event. Next of kin and other(s) if possible.
Contact Name 1:
Contact Phone 1:
Contact Name 2:
Contact Phone 2:
Contact Name 3:
Contact Phone 3:

Which u3a(s) are you currently a member of?
u3a Name: Membership Number (if known): Renewal Date:
u3a Name: Membership Number (if known): Renewal Date:
u3a Name: Membership Number (if known): Renewal Date:

Which group(s) are you thinking of joining? Your details will be forwarded to the group leaders(s) and this is subject to there being space for additional members.
  

Which trip(s) are you interested in joining? Your details will be forwarded to the trip organiser(s) and this is subject to there being space for additional members.
  

It would help in our planning and organisation of Day Trips and other events if you could indicate whether you hold current membership of the following organisations (if any):
National TrustArt FundEnglish HeritageOther (please specify) 

PRIVACY STATEMENT AND GENERAL DATA PROTECTION REGULATIONS CONSENT
Please tick the box below to give us permission to use the information you have supplied in the following ways:
• To store it securely for membership purposes.
• To use it for U3A legitimate purposes only.
• To communicate with you as a U3A member.
• To share it with group leaders for those groups of which you are a member.
• To send you general information about the Third Age Trust (the national organisation to which U3As are affiliated).

I consent to my data being used for membership purposes as detailed above.

NB: A copy of our Data Protection and other policies can be found on our website: https://thame.u3asite.uk/policies/

Your details will never be supplied to an outside agency.

TERMS AND CONDITIONS OF MEMBERSHIP
All members must:
• Abide by the Aims and Guiding Principles of the U3A movement.
• Always act in the best interests of the U3A and never do anything to bring It into disrepute.
• Abide by the terms and conditions of the constitution.
• Treat fellow members with respect and courtesy at all times.
• Comply with and support decisions of the elected committee.
• Advise the committee of any change in your personal details.
• Provide emergency contact details before joining any group activity or organised trip.
• Ensure that members with mobility or medical issues have a designated friend or buddy with them at any u3a meeting or on any trip to assist them if required.

I apply for Associate membership of Thame & District U3A and confirm that I will comply with the above terms and conditions.

I accept the terms and conditions.

I understand that the Membership Secretary or other authorised person of Thame & District u3a may contact my parent u3a(s) to confirm my membership status.

Please note, that wherever possible we will communicate with you via email.