Membership Form 2018.
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:
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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