Application to Join Handsworth Roadhogs Sheffield

First Name(s) Surname Address Date of Birth Town Gender County Phone Post Code Mobile No. Email Address (Parents of Under 18's) Mobile No. (Parents of Under 18's) Email Address

Membership of Other Running Clubs Other Clubs of Which you are Member Status ie First / Second Claim Date of Resignation from Previous Club

Please indicate Which Category you are applying for: Over 18 (First Claim) Over 18 (Second Claim) Junior(Under 18) Un-waged Associate Member(non-running)

Please indicate Which diciplines You Expect to Participate: Cross Country Road Running Fell & Hill Non-competitive running

I confirm that I am eligible to compete under UK Athletics Rule.

I *accept / *do not accept that my personal data will be held on a computer by the club

(*Delete as applicable)

Signed …………………………………………… Date……………………………………

Parent/Guardian ……………………………………………………… (if under 18)

Amount Paid ……………………………Cash / Cheque (payable to “Handsworth Roadhogs”)

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Please print off the form and complete, forward along with your fee to the membership secretary:

Cheryl Bradbury
5 Cresswell Road,
Sheffield
South Yorkshire S9 4JN

Fees are as follows:

Over 18 (first claim)	£8.00
Over 18 (second claim)	£7.00
Junior (under 18)	£6.00
Unwaged	£6.00
Assiciate Member(non-running)	£4.00

*note first claim means this will be your main or only running/athletics club membership.
second claim means you are already a member of another club.

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