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Membership Forms
Shaftesbury Barnet Harriers

Application for Membership

Full Name:…………………………………………………………………………………………………

Address:……………………………………………………………………………………………………

……………………………………………………………….. Post code: ...….….…………….

Tel: (Home) ……..………………….………………. Tel: (Work) ……………………..…………….

Tel: (Mobile): ….…………………………………… E-mail …..…………………….….……….…...

Date of Birth:………………………………………. Male [ ] Female [ ]

Interests: Track & Field [ ] Road [ ] X Country [ ] Coaching [ ] Officiating [ ]

Application requested : First Claim ( ) Second Claim ( ) Higher Competition ( )

Name of any other athletic club that you have belonged to: ………………………………………………

Date of resignation from that club: …………….. County of birth or County to represent.………………

Joining fee: Over 20 £50 (includes club vest and shorts/crop-top and hot pants)*
Under 20 £45 (includes club vest and shorts/crop-top and hot pants)*
Supporter £30

* please indicate required size and colour as shorts/hot pants come in red or black.

Cheque to be made payable to “Shaftesbury Barnet Harriers”.

THE JOINING FEE MUST ACCOMPANY THIS FORM FOR MEMBERSHIP TO BE ACCEPTED

I HEREBY DECLARE THAT THE FOLLOWING PARTICULARS ARE CORRECT AND COMPLETE:

1. I am an Amateur and eligible to compete according to the Rules and Laws of UK Athletics.

2. I will abide by the Laws and Regulations for competition issued by the Governing Bodies of Athletics.

3. I have not competed at an unregistered meeting or, if I have so competed, I have since been reinstated.


Date of application: ………………………… Signature:…………………………………


Parent/Guardian’s signature (if under 18) ……………………………………………………………………


Proposed by: ……………………………………… Seconded by: ………………………………..


Membership Secretary: ……………………………………………………………………………………...

When completed this form should be sent to:

Ladies: Bryan Smith, 46 Tudor Manor Gardens, Garston, Watford, Herts WD25 9TQ
Men: Geoffrey Morphitis, 55 Lancaster Avenue, Hadley Wood, Barnet, Herts, EN4 OER
Boys: Tony Smith, 10 Shenley Hill, Radlett, Herts WD7 7BB
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