Membership Signup - Washbrooks Family Farm

Customer to complete this form for each individual member.

Membership can only be issued in person to those present, or on behalf of those present.

Any persons 15 years and under must have a persons aged 16 years or over complete this form on their behalf.

Section 1

Members Name *

First

Last

Email *

Phone *

In case of a lost card or emergency.

Signing up on behalf of somebody else? *

Membership can only be issued in person to those present, or on behalf of those present.
Note: Those persons 15 years and under must have a persons aged 16 years or over complete this form on their behalf.

Terms & Conditions

You can read the Terms & Conditions by clicking here. Or by asking a member of staff.

By taking out membership you accept these terms and conditions of use *

I agree

Section 2

Please hand back to have your photo taken.

Photo *

Click or drag a file to this area to upload.

Note: Hand back tablet to customer to sign and submit the completed form.

Signature *

Last check's

Once you press submit the membership process is complete upon which your details will enter our system before payment is taken. Please ensure you are happy to proceed before submitting.

Upon submission a copy of your application will be emailed to you.