Glenhuntly Athletic Club
Membership Form 2017-18
To be used for Club Training and Club Supporter membership only.
DO NOT USE THIS FORM IF YOU PLAN TO COMPETE FOR THE CLUB
Note: Non-competing members may upgrade to competing membership at any time.
** Competing members register online with Athletics Victoria: members.athsvic.org.au
|Date of Birth:
|Gender (M or F):|
|Disability: (Y or N)||Disability Classification:
|Relationship to contact.
| School /Employment:
|Club Training Senior
|Provides training with the club, access to the club coaches and club facilities,|
|Club Supporter (social)
|$40||Provides access to club activities|
Cash/ Cheque/ Money Order :
Payable to Glenhuntly Athletic Club Inc.
Funds Transfer: Bendigo Bank BSB # 633 000 Account # 139 341 002
Signed: ____________________________________ Date: ________________________
(Parent/Guardian if U18)
Please Return completed form to the Club Registrar.
Julie Nield 76 Landcox Street, Brighton East VIC 3187
0420 908 242