THIRSK AND SOWERBY HARRIERS
MEMBERS APPLICATION FORM
(For RENEWAL & JOINING)
SUBSCRIPTION FEES:
Senior..........£25.00
Under 16......£10.00
Please make cheques payable to 'THIRSK & SOWERBY HARRIERS' as payment of ANNUAL Membership together with the completed application form below and send to:
P.Sherlock
Thirsk & Sowerby Harriers
Clarence House,
Coxwold,
York.
Email- pam.sherlock@btinternet.com
Please PRINT all details in FORM below!!
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SURNAME:______________________ First Name(s)_____________________
Address:___________________________________________________________
___________________________________________________________________
POST CODE *: _________________
TELEPHONE NO.: (Home)__________________ (Work) __________________
EMAIL ADDRESS *: _________________________________________
DATE OF BIRTH *:__________________
MALE / FEMALE YOUTH / ADULT
Other Athletics Club of which you are a member (if any):
______________________________________________
I wish to become a member of Thirsk and Sowerby Harriers, and declare that I
am an amateur as defined by the BAF.
I understand that upon payment of a membership fee, the completion and returning
of this form, and acceptance by the Club Committee, I become a member of Thirsk
& Sowerby Harriers.
I understand that, upon my membership being accepted, I am eligible to race
under the 'Thirsk & Sowerby Harriers' name and that I am eligible to attend any
of the club training and social functions.
Membership can be terminated at any time by the Club Committee should they deem
that any actions from myself have brought the club into disrepute.
Signed: ___________________________ Date: _________________
* Please supply this information.
(This form may be photocopied)