/ British Aikido Association
c/o 50 Selsea Avenue, Herne Bay. Kent CT6 8SD
Tel: 01227 360898 Em:
Application for personal membership
(Fees applicable from 01April 2013)

Please complete this form and return with your remittance via your club’s administrator to:

Membership Officer, British Aikido AssociationEmail:

50 Selsea Avenue, Herne Bay, Kent. CT6 8SDTel: 01227 360 898

Please make cheques payable to: British Aikido Association. Please do not send cash.

Membership fees and subscriptions / Adults (18+)
£p / Amount enclosed / Under 18s*
£p / Amount enclosed
Annual Student membership fee / 30.00 / 20.00
Annual Concessionary membership fee:
in full-time education or 
out of work (minimum of six months) or 
over age of 60 years 
If one of these options is relevant, please tick appropriate box / 20.00 / n/a / n/a
Annual Coach Membership fee:
(Available only to accredited coaches)
Signing this form signifies that you know of no material disabilities, circumstances or incidents that might give rise to a claim. If you do know of such, please supply details. / 45.00 / n/a / n/a
Total: / or / Total:

For rules and conditions of membership please refer to the BAA Constitution, Bye-laws and working procedures.Please note that your membership documentation will normally be forwarded via your club administrator.

Renewal of membership
If this application is for renewal of an existing membership, please tick box and insert your BAA membership number (see page 1 of your Record Book) /  / BAA Membership No.:

Please use BLOCK CAPITALS

Title / Mr.  / Mrs.  / Ms  / Miss  / Dr.  / Master  / Other:
Family name
Other names
Day / Month / Year / Female / Male
Date of birth /  / 
Home address
Town
County
Post code
Telephone No. / (Home) / (Work/Mob)
Email:
Pleasenote that including your email address will invite the BAA to send you general news directly. You will be able to remove your name subsequently from future mailings. If you do NOT wish to receive such mailings please put a X in the box:
Club name
Grade (current) / Date / Place
To be signed byparent or guardian if applicant is under 18 years of age*
Signature of applicant / Day / Month / Year

*Photographs may be used as publicity material by the association from time to time, please tick the box if you do not want photographs of the child / children you are signing on behalf of to be taken

Data Protection Act

It is a requirement of the Data Protection Act 1998 that persons give their written authorisation to have their details recorded. By signing this application form, you are giving permission for your personal details to be recorded in the databases of the British Aikido Association. This database isnot distributed to any other third party and is not used for nonAikido related functions. Failure to sign the application will mean you cannot be a member of the British Aikido Association. For persons under the age of 18 please ensure a parent or legal guardian signs on your behalf.

Issue 02/2015 25062015