New Member

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Annual Renewal

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REGISTER -

First Names:
Surname:
Date of Birth:
Identity Number:
Gender:
Cell No:
Work No:
Home No:
Email Address:
Residential Address:

COSTS

/ League Senior Membership / R 700 / Includes 2017Licence fee & all league race entry fees. *
League Student (20 – 25) Student Card Required / R 600 / Includes 2017Licence fee & all league race entry fees. *
League Junior (15 – 19) Membership / R 350 / Includes 2017Licence fee & all league race entry fees. *
League Junior U19 parent(s) full members(s) / R 100 / Includes 2017 Licence fee & all league race entry fees. *
League Pensioner (60+) / R 450 / Includes 2017licence fee & all league race entry fees. *
Non-League Senior / R 450 / Includes 2017licence fee. **
Non-League Junior / R 275 / Includes 2017licence fee. **
Social / R 150 / Excludes 2017licence fee and league race entry fees.

Fees

Vest - R180
Donation /

For less fortunate runner funds – Not compulsory – anything helps

Total

BANK DETAILS

Payable to /

Charlo Athletic Club

/
Confirm EFT payments with:
Bank /

Standard Bank

/ Denise Darlow (Club Secretary) at
Branch /

Pickering Street

/ Shayne Hardiman (Treasurer) at
Branch Code /

050017

Account No /

080174302

Reference: /

Members Name

* By signing this Membership form you are accepting and understand the conditions of membership listed overleaf.

Signed:

/

Dated:

OFFICIAL USE ONLY

<16

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Youth

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16 – 19

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Junior

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20 – 39

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Senior

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50 – 59

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Master

40 – 49

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Vet

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60+

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Grand Master

MEMBERSHIP ACCEPTED:

/

Chairman

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Yes

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No

Committee

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Yes

/

No

TERMS AND CONDITIONS

1.* The club will pay race entry fees for all league members for EPA League races.

The club however reserves the right to withhold this privilege at any time during the year should the financial status of the club change.

** Entering and payment of league races of non-league members is the member’s own responsibility.

2. Where Club members enter a league race and do not take part in the race the Club reserves the right to recover the entry fee from the member.

3. Members are required to wear club colours at all races that are under the control of the EPA and where the member is representing Charlo Athletic Club.

-Undershirts – Black or white only. Shorts/Skorts/Leggings - black only

Failure to adhere to the dress code may lead to disqualification as per the rules of EPA & Charlo Athletic Club.

4. Members will not be allowed to enter races that are Charlo Athletic Club races – currently the Heartbreak Hill & Two Views – there are helpers runs available where league points can be earned for the club.

Members will be required to assist the club for these races.

  1. ASA registration is to be done online at the following site -

After your documents and payments have been verified, your registration will be validated and you will be allocated with a license number.

6. Code of Conduct

-Members are at all times expected to uphold the name of the club.

- Members are expected to abide by the ‘rules’ of Charlo Athletic Club – these are available in the Club Constitution which is available to all members at the Italian Club or from a committee member.

- The Club reserves the right to discipline members who are found to have transgressed any rules or brought the name of the club into disrepute.

-Charlo Athletic club abides by the rules of ASA / EPA (NMBA) / IAAF.

- these include areas such as sporting codes;

- sportsmanship;

- performance enhancing drugs;

- cheating.

- The clubs reserves the right to discipline members or inform EPA (NMBA) of any transgressions.