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You are here >> New Membership Application

New Membership Application

Please complete all details.

SECTION A: Athlete/Family Details

Forename:
Surname:
Gender:
Address:
Postcode:
Telephone:
Mobile:
Email:
Date of Birth:
Address of School/College:
Country of birth:
If you are a member of another athletic club please enter the club name:

SECTION B: Parent/Carer Details

If you are under 16 years of age, please ask your parent/carer to complete the following section.

Forename:
Surname:
Address:
Postcode:
Telephone:
Mobile:
Email:

SECTION C: Medical Information

Please tell us in detail of any important medical information that the club should be aware of:

SECTION D: Emergency Contact Details

Please insert information below to indicate the persons who should be contacted in the event of an emergency:

Name of Contact One:
Number of Contact One:
Name of Contact Two:
Number of Contact Two:

SECTION E: Helping out

Would you be prepared to help with any of the following (please tick)?

Athletic Meetings
Team Management
Refreshment Area
Supervision of Athletes
Assisting Training
Helping Officials
Other (please specifiy):

SECTION F: Athlete Agreement

Please tick this box to confirm you are willing to abide by the club code of conduct
for athletes and agree to always behave in an appropriate manner when attending club events:

SECTION G: Parent/Carer Agreement (please ignore if athlete is over 16 years of age)

Please tick this box to confirm you are willing for the named athlete to take part in the activities of the club and that you have read and agree to abide by the club code of conduct whenever you are present at the club activities:

SECTION H: Photographic Permission

Please tick this box to confirm you grant Traford Athletic Club to take photographs of you and agree that trafford Athletic Club may use such photographs of you for any lawful purpose:

SECTION I: Membership Fees

Please select which membership you would like:


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New Site created by Ian Salisbury 2008