MIDDLESBROUGH & CLEVELAND HARRIERS

FOUNDED 1893

Membership SecretaryGeneral Secretary

Kevin HudsonAndrea Ansell

14 Glendale Road27 Thames Avenue

Tollesby Thornaby

MiddlesbroughStockton on tees

TS5 7QBTS17 8HS

0754059161107971684596

Dear Prospective Member

Becoming a member of Middlesbrough & Cleveland Harriers is an important step in your athletics career. Before you sign the form and pay a fee to become a member you should have enquired into the facilities, privileges and obligations of joining.

This club will help you progress in your chosen event(s) and in return we hope you will play your part in the life and activities of the club.

Maintaining your membership of this club involves paying an annual subscription on 1st January, you will also be required to wear official club kit when competing in England Athletics events

If you have any queries about the club or the coaching that is available please contact me.

Yours faithfully

Kevin Hudson

Membership Secretary

MIDDLESBROUGH & CLEVELAND HARRIERS

MEMBERSHIP APPLICATION FORM

Full Name (block letters)………………………………………………………………………………

Address (block letters)………………………………………………………………………………..

.

……………………………………………………….... Postcode …………………………………..

Telephone No………………………….……..……… Date of birth ….……………………………

E-Mail address…………………………………………………………………………………………

Event(s) interested in……………………………………………………………………………….…

Coach (if appropriate)…………………………………………………………………………………

Are you or have you been a member of another athletic club? Yes/.No

Name of other club ………………………………………………….……………………………….…

Date of joining/resigning……………………………………Current EA Number …………….….…

Name of first claim club…………………………………………………………………………………

I hereby apply for membership of Middlesbrough & Cleveland Harriers and I understand my obligations under former BAF rules. I agree to abide by the Constitution and Rules of the Club. I am as far as I am aware, fit to take part in strenuous activity and declare that I am an amateur as defined in the BAF viz:”An amateur is a person who abides by the eligibility rules of the federation”

Athletes signature …………………………..……………………Date ………………………………

Parent or Guardian Signature (if under 16 years) …………………………………….……………

Proposed by …………………………………………………………………………………………....

Membership fee attached £ ……………………………………………………………………….….

The proposer must be an existing member of the club, and if the applicant is under 16 years old the proposer must be either a Committee Member or aged at least 21 years.

This form should be accompanied by the first years’ subscription, which is £20.00 if under 18 years or in full time education or for an associate member. £35.00 for full members 18 years and over and not in full time education.Family membership is also available at a cost of £50.00 provided each member of the family completes a separate form.

Please send the completed form to the

Membership Secretary

Kevin Hudson

14 Glendale Road

Tollesby

Middlesbrough

TS5 7QB

07540591611