Would you like to register any other members/memberships under this account?
Please select from the below.
Participants in the Super Groms Program must have a parent or guardian on the beach or in the water at all times. Failure to adhere to this condition will result in the participant being excluded from the program.
Super Groms are only permitted to participate in Super Groms category. If a Super Grom wishes to participate in other divisions they must register as Under / 18 member.
I hereby apply for membership of the Phillip Island Boardriders Club Incorporated (PIBC).
In so applying and in consideration of my application for membership being accepted I acknowledge and agree that:
Super Grom Program Under 14 years as at 1 January 2018
Under 18 Member Age is at 1 January 2018
To make a payment by direct deposit please use primary contacts surname as transfer reference ID.
BSB 633-000Account Number 1588 30570Account Name Phillip Island Boardriders Club
Please email remittance to email@example.com
Cash payments can be made Friday 28th November, 6 PM
Phillip Island Boardriders ClubVeterans Road, Woolamai
Please have correct change where possible.
Thank you for your membership application. You will receive a confirmation email on confirmation of membership. Don't forget you still need to register for the first event of the season - 7 PM at the Clubhouse Friday 18th November or call 5956 6017