ELMBRIDGE ROAD RUNNERS

APPLICATION FOR MEMBERSHIP 

To the Committee,

I apply for election as a First/Second* claim member & submit the following particulars (*Delete as appropriate)

Full Name: ___________________________________________________________

Date of Birth: _____________________ County of Birth: ______________________

Present Address: ___________________________________________________

___________________________________________________

___________________________________________

e mail.........................................................................................

Telephone Number: ___________________________________________________

My first claim club is: ___________________________________________________

I have been a member of the following clubs:

_____________________________________________________________________

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I DECLARE that the above particulars are correct according to the definition of the AAA as follows:

An amateur is one who has never competed for a money prize or monetary consideration in any athletic sport or game or been in anyway interested in a staked bet or wager made in connection with any athletic competition in which he was an entrant or competitor, who has never engaged in, or assisted or taught any athletic exercise for pecuniary consideration or in anyway exploited his athletic ability for profit with any one who is not an amateur.

Dated______________

Signature of applicant ______________________________________