ࡱ> TVS bjbjVV T<<l !!!!!5555,a5j7999999$: n]-!"]!!:::.!!7:7::c^Øi5:{#0,J!J!J!!t:]]$J! : YATELEY HOCKEY CLUB Senior club membership form 2011-12 We are very pleased to welcome you to Yateley Hockey Club for the 2011/12 season. To ensure that we have the correct contact details for you, please insert the information requested below and return this form to your team Captain , Membership Secretary or Treasurer. We are transitioning to a new subs system this year so please read the Subs & Fees document to understand the options and prices. Personal details: I am a NEW or EXISTING Member (please circle) Surname: ____________________________First Name___________________Full Address:____________________________Postcode:___________________________________________________________________________Home telephone:____________________________Mobile No:___________________Email address ____________________________DOB:__________________Gender: Male ( Female (Medical information For your safety it is important that the club is informed of any medical condition or allergies that may be relevant should you fall ill or be involved in an accident while at the club (e.g. epilepsy, asthma, diabetes, etc.). This information is shared with the club coaches and team managers to ensure that everyone can take the appropriate action.Medical Condition: Action in event of Attack: Emergency contact details Please insert below the details of two people who should be contacted in the event of an incident/accident:Emergency contact 1:________________________Telephone no:_________________Emergency contact 2:________________________Telephone no:_________________Yateley Hockey club may, on occasion, take photographs of teams, matches etc. These photographs may be used on the club website, on club publications or submitted to the press with match reports. If you have concerns with your photo appearing in any of the above, please tick this box %. I understand that the club will also use this information to keep me informed about club events. However, that personal information will not be passed to any other organisation. After reviewing the 2011/2012 subs document please indicate if you are opting for the ALL INCLUSIVE or PAY & PLAY sub option (circle selection). I am a ___________________member (enter membership category) and enclose my first payment of ____ My total subs for the year will be ______ (See subs doc/captain/membership secretary or Treasurer). 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