MEMBERSHIP APPLICATION 2004 / 2005

Colt’s First Name ………………………….Surname ……………...…………………… Male/ Female (delete)

Date of Birth ……..../……...…/……...…… Age on 1st Sept 2004 - Years ……...….. Months ………..…

Address (in full)…………………………………………………………………………………………………..

………………………………………………………………………. Post Code ……………………………..

Email address ………………………….…………….. Parents first names …………… ……….….……………

Tel No. inc. code ………………………………...…… Emergency Tel No. …………………………………….

Preferred position(s) - if any .……………………………………………………………………………………….

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SUBSCRIPTION FOR THE YEAR Sept 2004 - 2005

Please note the requirement for Club kit in the newsletter enclosed

Colt - individual (including all match fees for league matches) £ 45.00

Colts - two or more (including all match fees for league matches) £ 80.00

The above amount MUST be paid within 4 weeks of the Colt’s first attendance e.g. 4th October.

Student / Senior club player (plays on Saturdays with main club) £ 45.00
(£50 if not paid by 31st October 2004) Saturday match fees to be paid in addition as appropriate

Cheques should be made payable to “Camberley & Farnborough Hockey Club” and crossed.

There may be an additional charge if playing in some Tournaments.

INDEMNITY

In view of the changing climate in terms of childcare / welfare, please note the following two paragraphs.
Registration - Parents MUST ensure that all colts register their attendance at the start of each session.
Drop and Go - For Under 10’s this is NOT allowed. It is a club rule that parents should remain on site whilst their children attend training. If you need to disappear for a while then you MUST find another parent who is willing to take responsibility for your child whilst you are away. Injury, behavioural issues and unexpected curtailment of the training session due to bad weather are just some of the reasons for this.

I agree to indemnify the hockey coaches at Camberley Hockey Club against any claim for injury to my son / daughter / ward.

Please state if permission is NOT given for minor first aid to be given in the event of a minor injury e.g. plasters.

…………………………………………………………………………….………………………………………….
Should your child suffer from any illness or disability that we need to be aware of please give details

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Signed …………………………………..………. (Parent / Guardian) Date …………………………………