Membership
VETERANS ATHLETICS ASSOCIATION NORTH EAST OF ENGLAND
(VAA NE)
(Affiliated to North of England AA and BVAF)
APPLICATION FOR MEMBERSHIP
Membership Secretary: Val Hancock, Low Dryburn Farm, North End, Durham, DH1 4NJ.
Telephone: 0191.384.9780.
The Association organises veterans athletics competition in the North East of England for men and women in five year age groups. Membership is confined to veterans who either:
(a) have bona fide residence in, or
(b) were born within the counties of Northumberland,
Durham, Tyne & Wear or Cleveland,
who must also be members of a UK Athletics-affiliated club. The subscription for the calendar year 2006 is £15. Please complete the details below and return to the Membership Secretary (Val Hancock) at the above address, with proof of date of birth (copy driving licence or birth certificate), your subscription and SAE for your membership card. Cheques/POs should be payable to Veterans AA NE.
NAME:
MALE/FEMALE:
...
ADDRESS:
POSTCODE:
TELEPHONE NO.:
..
E.MAIL ADDRESS:
. DATE OF BIRTH:
.
PLACE OF BIRTH:
FIRST CLAIM CLUB
NORTH OF ENGLAND AA (OR OTHER) REGISTRATION SCHEME NO.:
.
Volunteer Role
Please indicate below any role in which you are willing to assist when not competing, with a note of any coaching qualifications you may hold:
Timekeeper....... Track Judge....... Starter....... Field Judge...... Marksman ........ Ancillary.....
I confirm that I am a member of a UK Athletics-affiliated club and that I reside in/was born within the NE Counties of England. I accept/do not accept (delete as applicable) that my personal data will be held on a computer by the Association.
Signature:
Date:
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