Team Kennet Athletics & Triathlon Club

Membership Application Form

Full Name

Address Line 1

Address Line 2

Address Line 3

Postcode

Telephone

Date of Birth

Gender

Mobile *

Age

Are you a member of any other club?

If you have been a member of any other Athletic Club please advise the following.

Club Name

Date of Resignation

I hereby declare that the above particulars are correct. For Athletics Purposes, I am an amateur according to the definition of UK Athletics, which is as follows “an amateur is a person who is eligible to compete under the rules of UK athletics.” Please see UK Athletics Rules for Competition, Rule 1 for further details (available upon request or by visiting: www.uka.org.uk/competitions/rules/).

Please be aware that your data is being passed to the Athletics Governing Bodies and will be processed in accordance with their privacy statement.

I agree to abide by the rules of the club – available @ www.teamkennet.co.uk/club-rules/

Signature

Signature Date

Signature of parent or guardian (if applicant is under 16 years old)

Parent Signature

Signature Date

One off joining fee applicable to all new members – Includes club insurance, running vest, club t-shirt

£35.00

Membership Type (Age Group)

Prices shown above in brackets are for additional family members.

Track training Sessions are £4 each or you can save money by buying a pass.