/ Family Registration
Armidale Athletic Club

Annual Club Family membership fee: $60

ANSW Community membership fee: $10 per person

This entitles you join in the Armidale summer track and field competition and next yearswinter cross country season. It also allows you to earn points towards trophies presented at the end of both seasons, and makes you eligible for our Membership Rewards Program.

Compulsory ANSW Registration

As of the 2013-14 season the club has made some form of ANSW membership (and insurance) compulsory. The cheapest of which is Community membership for $10 per person, which gives each athlete Coverage for Personal Accident Insurance under the National Insurance Plan.

This form is to be used for any family members who wish to sign up as ANSW Community members.

If you have members of your family who need Dual, Club Athlete or Full ANSW membership, they should register online, for more information visit the ‘Join the Club’ sub Menu under the ‘Club Info’ link on the club website (

If registering with this form, you will also need to fill out an ANSW paper form for each family member.

If your family has a mixture of membership types, with some registered online and some on this form, we will ensure that the fees paid to the Armidale club do not exceed $60. Anything above that will be refunded to you.

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Armidale Athletic Club Registration Form

Hand this form (with fee) to club registrar, Pauline Smith, at any club meet, or mail to PO Box 383 Armidale 2350

Family Member 1: ______/ Date of Birth: ___/___/___
Family Member 2: ______/ Date of Birth: ___/___/___
Family Member 3: ______/ Date of Birth: ___/___/___
Family Member 4: ______/ Date of Birth: ___/___/___
Family Member 5: ______/ Date of Birth: ___/___/___
Family Member 6: ______/ Date of Birth: ___/___/___

Family Address: ______

Family Phone:______Family Mobile: ______

Family Email: ______(for club email list)

I acknowledge that my family participates in this activity at our own risk. We will take all reasonable measures to protect ourselves from the risks of participation. I release the organisers (and their helpers) from any liability (to the extent permitted by law) for any loss, injury or damage suffered in relation to my attendance and participation, howsoever caused, including due to any negligence or other act or omission.

SIGNED ______DATE ______

Fee paid: $ ______