Streatham Fencing Club - Yearly Subscription Form Juniors Aged 10-16 Click to Print Out This Form |
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| Please Circle One Of The Following: | 1 year - £130 / 1 term - £50 |
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Please print out this form first, fill it out and then send together with a cheque for the amount shown above.
Please make cheques out to 'Streatham Fencing Club' and send to - | David Lowe, 43 Rosedene Avenue, London SW16 2LS. |
| Name: | .................................... |
| Address: | ................................................ |
| Postcode: | ........... |
| Telephone: | .............................. |
| (Parents Name): | ................................ |
| (Parents Mobile Number): | .............................. |
| (Parents Email address): | ................................ |
| If you wish to be added to our email list to receive announcements please tick box | |
| Date Of Birth: | ................................ |
| Age: | ................................ |
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Please state if you know of any medical condition (such as asthma) that the coach should be aware of |
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| How did you find us?: | ................................................................. |
| We have a Facebook group 'Streatham Fencing Club' and a Google Groups e-mail distribution list: http://groups.google.co.uk/group/streathamfencing. | |
| Terms & Conditions
Neither Streatham Fencing Club, its coaches, instructors nor members shall, in any circumstances whatsoever, be under any liability to the applicant for any loss, damage or injury (including death), whether accidental or otherwise, arising during, or resulting from participation in fencing activities within the Streatham Fencing Club premises or on the Club's behalf. Payment of any membership fee to Streatham Fencing Club shall constitute an acceptance of all articles of its Constitution, a copy of which is obtainable from the Secretary. Data Protection Personal details of applicants are not disclosed to any third party. Parents Signature I have read and understood the above information and agree to abide by the Constitution and rules of Streatham Fencing Club. Signature ……………………………………. Date ………………….. | |