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Welsh Masters Athletic Association
www.welshmastersathletics.comRegistration 2012
I wish to take out registration as a competitor of the
Welsh Masters Athletic Association.
I declare that I am an amateur as defined by UK athletics rules, and that I have not and
will not use drugs or other substances to enhance my performance.
I understand that payment is due on January 1st of each competitive year,
and if not paid it could affect my eligibility to enter Masters competitions.
(Please print details below)
Surname_______________________________________________________________________
Fornames_______________________________________________________________________
Date of Birth____________________________________________________________________
Address_________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Postcode________________________________________________________________________
Phone Number____________________________________________________________________
E-Mail_________________________________________________________________________
First Claim Club_______________________________________________________________
Welsh Athletics Registration number_______________________Please fill in.
Through your First Claim Club, you are required to be registered with England Athletics/Scottish Athletics/Welsh Athletics/Athletics Northern Ireland, for which you are given a Registration Number/ Competition Licence Number. That Number MUST BE GIVEN on BMAF Entry submission, it shows you have Public Liability and Third Party Insurance. New/Previous Member (Please delete as necessary)
Membership fee £12.50 (if paid between 1st Jan & 31st March)
£15.00 (if paid after that date)
(Please make payment to WMAA)
Signature______________________________________________________________________________________
The membership fee includes an affiliation levy to BMAF, this levy also pays for delivery
of "Masters Athletics" the quartly Masters magazine.
Stamped addressed envelope for membership card returns to.
Membership Secretary
Mrs Sue Hooper
28 Mill Common
Undy
Monmouthshire
NP26 3JH
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