WORTHING RUNNING SISTERS
Membership Application Form - to 31 March 2011
· I apply to join Worthing Running Sisters for the period ending 31 March 2011
· I acknowledge that I agree with the aims and objectives of Worthing Running Sisters and that membership of the group will require payment of a subscription, currently £5.00, which I enclose. (make any cheque payable to Worthing Running Sisters)
· I understand that an additional £5.00 is payable if I require an England Athletics Competition Licence.
· I recognise that members of the group are not qualified coaches or trainers, but merely enthusiastic amateurs willing to share their experience and enjoyment of the sport with me.
· I confirm that I understand that participation in the group’s activities is entirely at my own risk and that I should consult my doctor if suffering from any condition that might make running injurious to my health.
Name | |
Address
Post Code |
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Telephone Number |
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Date of Birth |
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Email Address |
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Any medical condition we should be aware of:
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Person to contact in emergency |
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His/her address |
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His/her Tel No |
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Please send or hand your completed form and payment to either Carol or Michele.
Signed ……………………………………….. Date ……………………………...