2018 Application for Membership SENIORS

I wish to apply for membership of Craughwell Athletic Club.

Please use BLOCK CAPITIALS

Name:                                                                                                                             


Date of Birth:                                                       

Male:                      _____________


Female                    ___


Mobile No:                                                                                                                     

Address:                                                                                                                         

Email:                    

TYPE

Amount

Paid

Club Affiliation Speed Session and use of Senior track for 2017

€75

 

Couple Club Affiliation Speed Session and use of Senior track

€120

 

Fit For Life 10 Week Term

  €40

 

Fit For Life Annual Membership

   €75

 

Club Affiliation Only (No use of Senior Track)

€40

 
 

Please circle if       New Member        OR           Renewal of membership Choose Membership type

I have read and understand the following:

I will consult my GP before undertaking exercise or taking part in any club run sessions. I will determine the appropriate level of effort that I put into each activity.

Updates will be posted on Facebook. Dates and times are subject to change.


Signature:                                                                                  


Date:                                              


Please return completed registration form with cheque to John Fitzpatrick, Craughwell Athletics, Ballinastaig, Kilcolgan, Co. Galway

Monday the 16th. .