Idle Athletic Club - Membership Application Form
1. You may join us as a First Claim or Second Claim Member.
2. Membership year runs from April to March each year.
3. Renewing members’ Fees are to be paid by the end of April for the new membership year.
4. Existing members not renewing their membership before the 30th of June will have their membership cancelled as their membership will
have lapsed. You will no longer be able to compete as an Idle AC member and you will not be covered by the clubs insurance. Any competitions entered after lapse of membership will be liable to the extra £2.00 unattached levy.
5 Membership includes social membership to Hepworth & Idle Cricket Club.
6. You will be eligible for the club’s annual ballot for a London marathon entry (conditions apply)
7. Cost of membership is £29.00 for the year.
Contact & Personal Information
(Compulsory fields are marked with a red *)
Must be over 18 yrs
Date of Birth
Home Phone Number
Mobile Phone Number
Dual Club Membership
If you are a member of another running club, please enter the club name here & tick your 1st claim club
First Claim Club?
Please tick all that apply
Are you registered Disabled?
Do you hold a valid
First Aid Certificate
Emergency Contact Name
Emergency Phone Number
Do you have any known medical conditions ?
Do you carry any medication with you ?
Are there any emergency procedures of which we should be aware of ?
As acceptance of signature tick the box below & enter your initials in the space provided
I accept the terms & conditions of Idle Athletic Club
IMPORTANT PAYMENT INFORMATION
Cheques payable to "Idle AC" & given to the Treasurer, Phil Joyner or any committee member.
Please enter the text from the image
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