Full Membership Application 2017-09-01T16:31:57+00:00

Full Membership Application

Member Details

Residential Address

Contact Details

Referrer Details

Were you referred by a GCTC Member?

Do not want to receive Club correspondence via email?*

Do you want to receive Club news, events and special promotions?*

Which best describes your relationship with racing.*

Have you ever been convicted in any court of any offence (other than a minor traffic offence)?*

Are you bankrupt or insolvent?*

Have you incurred liabilities in connection with horse racing and not discharged same in full or been declared a 'defaulter in debts'?*


Total Amount $240.00 AUD

DECLARATION: I hereby declare that the answers by me to the foregoing questions are true and correct and that I have not withheld information within my knowledge likely to affect he decision of the Board of the Gold Coast Turf Club, as to the eligibility of my Membership and I agree to abide by the Rules and Regulations of the Gold Coast Turf Club for the time being in force. I further agree to appear before the Board together with my Proposer and Seconder at a date to be mutually agreed upon if the Board so desire.

CONFIDENTIALITY CLAUSE: Gold Coast Turf Club Ltd acknowledges and respects the privacy of individuals. We advise that the information that you provide on this form is "Personal Information" as defined by the Privacy Act 1998 (the “Act”). This information is being collected for the purposes of processing your membership application, keeping you informed of upcoming events and assisting us in improving our service to you. The intended recipients of the information are the Gold Coast Turf Club and service providers engaged by the Gold Coast Turf Club. The provision of information is voluntary, but if this information is not provided, the Gold Coast Turf club may be unable to process your registration or enquiry. You have a right of access to, and alteration of, personal information concerning yourself in accordance with the Act. The information is being collected by the Gold Coast Turf Club and will be held by the Gold Coast Turf Club. Please direct any enquiries you may have in relation to this matter to our Financial Controller. This application is subject to approval by the Board, a full refund will be provided should your application be unsuccessful.

I agree to the Terms and Conditions bound by this application*