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Tipton Harriers Renewal 2022/23
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* Indicates required question
Mr/Mrs/Ms/Miss
*
Salutation
Mr
Mrs
Ms
Miss
Other:
First Name
*
Your answer
Surname
*
Your answer
Event / Role
*
In what way are you involved with the club? Tick all that apply
Track & Field Athlete
Endurance Athlete (Non Track)
Coach
Official (Time Keeper, Track / Field Judge etc)
Volunteer
Life Member
Other:
Required
Please indicate that you agree to abide by the rules of the club
*
I Agree
Required
Where athlete is under 18 years of age please state consenting adults name
Your answer
Membership Rates For 2022/23
Select Membership Rate
*
£115 Adult 18 and Over (Including Track Fees)
£80 Adult 18 and Over (Not Including Track Fees)
£105 Student (Age 11 to 18)
£95 Under (Age Under 11)
£230 Family (2 Adults plus any under 18s at the same address)
£35 2nd Claim (£4 per week for ad-hoc track use)
£0 Coach
£20 Competing Coach (Qualified and actively coaching at Tipton)
£0 Life Member
Payment Options
*
Bank Transfer (Sort 05-04-21 A/C 46593527) Please use your name as a reference.
No Payment (eg Life Member, Non-competing Coach, Volunteer)
Name and Date of Birth of Additional Family Member
Your answer
Name and Date of Birth of Additional Family Member
Your answer
Name and Date of Birth of Additional Family Member
Your answer
Name and Date of Birth of Additional Family Member
Your answer
Any Queries?
Please contact the Membership Secretary Bryan Mills, or ask at the Tipton Harriers reception desk. email
membership@tiptonharriers.co.uk
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