MEMBERSHIP APPLICATION FORM

Applicants for membership should complete all the details requested, print the form by clicking the 'Print Form' button below, then sign and date it and send it together with the appropriate subscription to:-

The Membership Secretary
Ashford & District RRC, 64 Riversdale Road, Ashford, Kent, TN23 7TR.

Alternatively this form and your subscription can be brought along on any club night.

For further details contact The Membership Secretary.

MEMBERSHIP SUBSCRIPTIONS:
  Full Member £27.50 per year    
  Additional Full Member £16.50 per year Immediate family only  
  Additional Junior Member * £11.00 per year Immediate family only  
* Junior shall mean under 18 years of age
The above subscriptions are payable on election and subsequently on 1st April in each year
[See Rule 7]

Cheques should be made out to 'Ashford & District RRC'

Surname: Forename:
Address:
 
Telephone No: e-mail:
DOB: //19 Country of Birth:
Occupation:

Are you a member of any other athletic club? Yes No
If 'Yes' please state club

Membership status (Please click as appropriate - See above)
Full Member Additional Full Member Additional Junior Member

I declare that I am an amateur according to the following:

'An amateur is one who has never competed for a money prize or monetary consideration in any athletic sport or game or been in any way interested in a staked bet or wager made in connection with any athletic competition in which he/she was an entrant or competitor, who has never engaged in, assisted or taught any athletic exercise for pecuniary consideration or in any way exploited his/her athletic ability for profit and who has never taken part in any athletic competition with anyone who is not an amateur.'

I understand that while every reasonable precaution will be taken to ensure safety the Club cannot accept any liability for accident, injury or the loss of or damage to property during Club activities.

Signature of Candidate: Date:

Parents consent (If under 18 years of age):

For your own benefit and in confidence, can you please advise one of the Coaches of any long term medical condition that may affect you whilst training (e.g. heart disease, diabetes or high blood pressure).
For Official use only:
Proposed by: Seconded by:
Date: Date:
Date subscription paid: Amount: £ Initials:
Membership Number: