Weston Athletic Club - Application for New Membership - 2001/2002

Section 1 - Personal Details

Surname:

First Name(s): Date of Birth:
Address:

                                                                                                  Post Code:
Telephone:
E-Mail:
1st Claim Club:
2nd Claim Club (if applicable)

Section 2 - Additional Family Members (Family Membership Only)

Surname First Name(s) Date of Birth 1st Claim Club 2nd Claim Club
         
         
         
         
         

Section 3 - Declaration (to be signed by parent or guardian if under 15 years of age)

I hereby apply for membership of Weston Athletic Club and agree to abide by the rules of the club if I am elected a member. (All new memberships must be approved by the committee.)
Signature:

 

Date:
Subscriptions for the period 1 April 2001 - 31 March 2002:

Full Membership - £20
Junior Membership (Aged under 11 on 1 April 2001 - £10
Family Membership - £35

Return your completed application and cheque payable to Weston Athletic Club to:

Weston Athletic Club, 45 Ashcombe Gardens, Weston-super-Mare, BS23 2XD

 

Paul Horton

Copyright Weston AC 2002

Last Modified : 09/10/01 05:12 PM