Weston Athletic Club - Application for New Membership
- 2001/2002
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Section 1 - Personal Details
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Surname:
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First
Name(s): |
Date
of Birth: |
Address:
Post Code: |
Telephone:
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E-Mail: |
1st
Claim Club:
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2nd
Claim Club (if applicable) |
Section 2 - Additional Family Members (Family Membership Only)
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| Surname |
First
Name(s) |
Date
of Birth |
1st
Claim Club |
2nd
Claim Club |
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Section 3 - Declaration (to be signed by parent or guardian if under
15 years of age)
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| 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 |