Plymstock Road Runners - Membership Application

Membership of the club is confined to Amateurs as defined by the UK Athletics Rules for Competition.
Senior membership to the club is £10 per person, this covers your annual EA membership entitling you to dicounted race enty. Weekly subscription of £1.
Junior membership to the club is £2.50 per person, with a weekly subscription of £1 (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

 

 
OCCUPATION

 
TELEPHONE & MOBILE
  
DATE OF BIRTH
  
EMAIL
  

JUNIORS ONLY

MEDICAL CONDITIONS
/ MEDICATION TAKEN
  
I will ensure that my child is brought to the junior session and collected from the junior session by either myself or another nominated person detailed below:
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