DARTFORD ROAD RUNNERS

AFFILIATED BODIES: EA, SEAA, KCAA; ARC

Club Headquarters: Princes Park Stadium, Darenth Road, Dartford DA1 1LZ

APPLICATION FOR MEMBERSHIP Cost: £40.00 [max]

This comprises £20.00 for a Club vest (mandatory if you wish to race as a DRR member) plus £5.00 per quarter year (non-refundable). You must wear your club vest when entering races as a member of an affiliated club)

Name	Surname	First Name			Title (Mr, Mrs, Miss, Ms, etc)
Address	……………………………………………………………………………………………………………… …………………………………………………………………………………………………………….... ……………………………………………...…………...….. Post Code: ……………………………….
Tel (mobile)
Tel (home)
E-mail (s)
Date of Birth			Vest size	S		M	L	XL

Please answer the following questions by placing a “X” in the appropriate column.

Unanswered questions will be deemed “No”. The Data Protection Act applies in all cases.

Do you give your permission to Dartford Road Runners to:	Yes	No
include your contact details on an internal only distribution list of club members?
submit your name & address details to the Club’s affiliation body/ies? (essential if you wish to enter certain races at the reduced entry fee, and to be insured)
use any photograph of you taken at club events on the notice board and web site?

DECLARATION

I hereby apply to become a Member of Dartford Road Runners. I declare that I am a Bona-Fide Amateur, according to the definition: “An amateur is a person who abides by the eligibility rules of the Federation”. I agree to abide by the rules of the club as published on the DRR web site.

Please mark only one response below, and complete / delete where appropriate

1) I am not a member of any other club affiliated to the EA or ARC (tick if applicable) £

2) I am a member of ………………………………………………………… club, and wish to join

DRR as 1^st claim 2^nd claim member (please select)

Signed: ……………………………………..…………….……..; Date: ………………………………

Please return this form with your remittance to:

DRR Membership Secretary

225 Hurst Road, Sidcup DA15 9AL

(please do not send cash through the post)