Community Care Form

Let’s look out for each other.

Please use this form to bring to Management’s attention any concerns you may have about Member behavior that adversely impacts your Club experience. Your identity will be kept strictly confidential.

Question Title

* Membership No.
Please fill in your full membership number (e.g. A123400 / A123401 / A123402)

NOTE: This field can be left blank if you prefer to remain anonymous.

Question Title

* Date of incident

Question Title

* Outlet

Question Title

* Name of Member(s) involved in incident

Question Title

* Incident details

Question Title

* By checking this box, you agree that The American Club may collect and use your personal data internally, for purposes specified in this Community Care Form. In accordance with the Personal Data Protection Act 2012 and The Club’s data protection policy, this data will not be shared or used for any other purposes.

Thank you for doing your part to protect The American Club community.
( Privacy & Cookie Notice

T