Please print form out, fill it in and give it to the membership secretary 
Mrs Toni Lidgard
'Claernlee'
Main Rd
Covenham St Bartholomew
Louth
Lincs
LN11 0PF

Tel No. 01507 363695

Application Form for 2nd Claim Membership

  • Surname:
  • First Name(s):
  • Address:
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  • Postcode:
  • Telephone:
  • Date of Birth:
  • Emergency Contact Number:
  • Medical Information:
  • Any other information the club should be aware of:
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I am first claim member of .................................................................................. and wish to apply for second claim membership of Louth Athletic Club. I hereby agree to abide by the rules of the club Amateur Athletic Association.

I accept that the club shall not be liable for accident, injury, loss or damage as a consequence of my membership in Louth Athletic Club. I also declare I am medically fit to take part in athletics.

For Louth Athletic Club to be a successful club we need volunteers to help. You may be asked e.g. for ground maintenance at the club house, at events that we put on throughout the year or at events such as Lincs League meetings. It takes many volunteers be able to continue to operate as we do.

Do you give your consent for the taking of photographs for publicity and general purposes?

YES / NO

  • Date and Signed

Subscription

Please see the notice board in the Club House or see Membership Secretary for up to date fees. (2008 annual membership subscription: 2nd Claim Member £14)
All cheques payable to Louth Athletic Club.

We ask that all competing athletes to run in club colours. Club vests are for sale in all sizes at £15.00 each.