DO NOT USE THIS OUT OF DATE APPLICATION FORM DO NOT USE THIS OUT OF DATE FORM UNLESS DIRECTED TO DO SO - CLICK ON THE JOIN KDAA LINK ABOVEPlease enable JavaScript in your browser to complete this form.Purchase Membership - Step 1 of 5DO NOT USE THIS OBSOLETE FORM UNLESS DIRECTED TO DO SO BY THE MEMBERSHIP SECRETARY- CLICK ON THE JOIN KDAA MENU LINK ABOVEPlease use this application form only if you have been sent an email link from the Membership Secretary. If you are applying as a new member or as a rejoining prior last season member, please upload a passport style photograph (head and shoulders) before submitting the form. In the case of a Husband/Wife or Parent/Junior only the main cardholder's photograph is required. Please note any photo that requires significant cropping will be rejected and you will be requested to email a suitable replacement. On submission, you will then be re-directed to make your payment via your PayPal account or your credit/debit card.On receipt of payment of your subscription you will receive an auto confirmation email from the KDAA within minutes. An confirmation email will then be sent by the Membership Secretary within 72 hours and the form will be manually processed on Clubmate for you.The personal data contained on this form is held and processed in accordance with the Association’ s Privacy Notice which can be accessed under 'Club info' on the Homepage at www.kdaa.co.uk or by clicking here.Please provide an email address so that KDAA can save on the cost of postage. If you provide an email address all communications e.g newsletters will be sent via email rather than posted.NextMembership status *Last season (2024/25) memberNew memberPrior last season memberName *FirstLastAddress Line 1 *Address Line 2Town/Village: *Post Code *Email *EmailConfirm EmailTelephone No:Mobile No:Date of birth:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If Parent/Junior membership provide the Junior's date of birthMember's photo ID membership card number:This only refers to membership cards issued in the 2022/23 season)My photo ID membership card is lost or damaged. Please issue a replacement.Please replace my membership card.This only refers to membership cards issued in the 2022/23 season)Attach Photograph (max size 3MB) Click or drag a file to this area to upload. PreviousNextAdult and Senior Citizen members may take one non-member child under twelve years old fishing with no charge. They do not require a separate membership card. However, they may only use a float rod.Subscription Type *Adult - £ 95.00Husband and Wife (The partner to be accompanied by the main card holder whenever fishing) - £ 120.00Parent and Junior (Junior to be accompanied by the parent whenever fishing) (Under 12s fish free) - £ 110.00Intermediate (Under 18 years of age on the 31st March 2023) - £ 60.00Senior Citizen (Aged 65 years or over on the 31st March 2023) - £ 55.00Registered Disabled (Email proof of disability e.g. Blue badge) - £ 55.00Junior (Under 16 years of age on the 31st March 2023) - £ 30.00plus Night Permit - £ 60.00River Permit Only (during the open season 16 June to 14 March) - £ 25.00Subscription Type *Adult - £ 95.00Husband and Wife (The partner to be accompanied by the main card holder whenever fishing) - £ 120.00Parent and Junior Junior to be accompanied by the parent whenever fishing) (Under 12s fish free) - £ 110.00Intermediate (Under 18 years of age on the 31st March 2023) - £ 60.00Senior Citizen (Aged 65 years or over on the 31st March 2023) - £ 55.00Registered Disabled (Email proof of disability e.g. Blue badge) - £ 55.00Junior (Under 16 years of age on the 31sth March 2023) - £ 30.00plus Night Permit - £ 60.00River Permit Only during the open season 16 June to 14 March) - £ 25.00Admin Fee *Price: £ 5.00Total Amount£ 0.00Payment Method *PayPalDebit / Credit Card (Stripe)Declaration - please tick: *I confirm that I have not been subject to disciplinary action by any angling club and accept that in joining I agree to be bound by the rules of the Kelvedon and District Angling AssociationPrivacy Policy *I agree to the Privacy PolicyBy ticking "I Agree to the Privacy Policy" above you confirm that you consent to the personal data contained on this form to be held and processed in accordance with the Association’ s Privacy Notice which can be accessed under Club Info at www.kdaa.co.uk or by clicking here.PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousNextStripe Credit Card *CardName on CardPreviousSubmit & Pay