Scarborough Athletic Club Membership Form by dfhercbml

VIEWS: 5 PAGES: 1

									              Scarborough Athletic Club Membership Form

I …………………….apply to become a member of Scarborough Athletic Club, and agree to abide
by both the rules of England Athletics and the Constitution and rules of Scarborough Athletic Club.
In particular to pay my annual subscription within twenty eight days of it becoming due, and
wearing club kit when representing the Club.


Signed………………………………………….                            Date………………………………………….


Personal Information :

First Name………………………………                        Surname……………………………………..

Home Address …………………………………………………………………………………

…………………………………………………Post Code……………………………………

Tel No : …………………………………..                      Mobile No : …………………………………..

Emergency Contact detail for parent/guardian………………………………………………….

Date of Birth …………………………………….

Disability, please state if you suffer from any disability……………………………………….

Please state if you have any medical condition or are on any long term medication, eg use inhalers

………………………………………………………………………………………………………..

Any previous Club…………………………………………………………………………………….

Date of resignation……………………………………

Your School……………………………………………

Events interested in :…………………………………………………………………………………..

Personal bests………………………………………………………………………………………….

…………………………………………………………………………………………………………

Please return to the Club Secretary
Scarborough Athletic Club is a Sport for All Club.
The Club welcomes athletes from any ethnic background, and those which suffer from a handicap
or disability.
The Club operates a Child Protection Policy, and has policies for conduct of athletes, coaches and
parents.
In signing this form you agree to your photograph being used to promote the club in the local press,
when you achieve success. Please indicate if you do not agree to this.
You are signing to say you have read and agree with the Club Code of Conduct.

								
To top