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BECOME A MEMBER

SRC Family Membership Form

Subscription for this year covers the period  from January 1st – December 31st.

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Member 1 Date of Birth
Member 2 Date of Birth
Member 3 Date of Birth
Member 4 Date of Birth
Address
Do you give permission for photography/videos of your child on social media, the club website or in the press?
Do you give permission for photography/videos which would be used for training purposes only?
Membership Payment
Sort code: 40 42 02 Account Number: 61493078
Please ensure your name goes in reference box.

Very Important: Only paid up members of the Club are automatically covered by the Club Insurance. It is your responsibility to maintain your membership. The Club will remind you mid-January and if not paid by 31st January you will no longer be a member.

I hereby certify that the above details are correct and that I give full consent for the above applicant/s to become a member of the club and to participate in training and competitions within the sport of athletics.