Please print out this page, or download form as Excel or PDF.
Annual subscription due on 1st September £12.50 per memebr or £20 per household Please complete in block capitals and return with your cheque and SAE to First Name(s) : Surname: Date of Birth : Sex: Address: Postcode: Telephone: Home Telephone: Work Mobile Telephone: Are
you a member of another Athletics Club? YES/NO
Would you like to be affiliated to England Athletics as a competing club member YES/NO
I certify the information given above is correct.
Any new members joining after 1st May £8 (full renewal due 1st September)
Cheques to be made payable to ' St Albans Striders'.
Helen Durance, 3 Praetorian Court, Vesta Avenue, St Albans, Herts. AL1 2PP
Please note that C4 envelopes are not necessary and using them will increase the amount of postage required.
E-mail Address:
If
so, which ones (please * your first claim)
(this allows you reduction on any affiliated races)?
By circling yes and signing this form you are agreeing to the club passing on
your details for athletics related purposes only
Where did
you hear about St. Albans Striders?
I declare that I am an amateur as defined by the UK athletics and that I will abide by their rules
(found online at http://www.ukathletics.net/competitions/rules).
I agree that St Albans Striders shall not be liable for any accidents, injury, loss, damage or expense
that may arise as a consequence of the clubs activities or events.
If in any doubt about any medical conditions I will refer to a doctor before running.
Signed
and Dated: