Plymstock Road Runners - Application for Membership - Open to all


Membership of the club is confined to Amateurs as defined by the UK Athletics Rules for Competition.
Senior membership to the club is £5 per person, with a weekly subscription of £1.
Junior membership to the club is £2.50 per person, with a weekly subscription of 50p (11-16 years with parental/guardian consent).

Print this page and bring it along with your Membership fee.
More copies available from the Treasurer.

SURNAME
 
FIRST NAME(S)
 
ADDRESS

 

 

TELEPHONE & MOBILE
 
DATE OF BIRTH
 
EMAIL
 

JUNIORS ONLY

MEDICAL CONDITIONS
/ MEDICATION TAKEN
 
NAME

 

RELATIONSHIP
 
ADDRESS
 
TELEPHONE & MOBILE
 
I, ................................................................................. give my consent for my son/daughter to apply for membership of Plymstock Road Runners Junior Section. I have also been given a copy of the Club Constitution and Rules and a Child Protection Disclaimer, which has also been completed and signed.
Signature
 
Print Name
 
I .................................................................................. do / do not give my consent to photographs being taken of my child whilst he/she is a member of Plymstock Road Runners Junior Section. I accept that the club will ensure reasonable steps are taken to only allow photographs that promote the club or the achievements of its junior members.
Signature
 
Print Name