*** Southampton Running Sisters Beginners Application Form 2008 ***
Name:
Address:

Post Code:
Telephone: (daytime)ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Telephone: (evenings)
Email:
Emergency Contact Name:ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Telephone:

What is your running experience?
Beginner ...ÿ Some experience ... Active in another sport ...
Have you ever belonged to another running club?
Are you currently a member of another running club?
If so please name it here

Medical information: Please write down ANY medical condition Southampton Running Sisters should be aware of e.g. back/knee injuries, high blood pressure, diabetes, asthma
..............................................................................................................................................................

Your date of birth.............................. (we can only accept applicants over 18 years old) 

PLEASE READ THE FOLLOWING CAREFULLY AND SIGN BELOW.
I ACKNOWLEDGE THAT IN PARTICIPATING IN THIS COURSE I WILL NOT HOLD Southampton Running Sisters liable for any injury I might sustain. I undertake that I am enrolling on this course in good health at my own risk. I understand that the course will be assisted by qualified coaches and helped by other Running Sisters.

SIGNED?????????????..ÿÿÿÿÿÿÿ Date...........................
I wish to enrol on the Running Sisters Beginners? Course
I enclose an advanced registration fee of œ30 full fee/œ25 concessions*
* cheques (payable to Southampton Running Sisters) or Postal Order only ? no cash by mail.
 receipts available at registration.
Please return the completed form by post (fee enclosed) to:
Tina Dempster, Membership Secretary,
15 York Close, Horton Heath, Eastleigh SO50 7PX
NB: registration on the first day œ35

Please enclose an SAE for acknowledgment if you do not have email.

Southampton Running Sisters Beginners' Course - 8 Week programme for women
Date: Every Tuesday starting 24th Aprilÿ Time: 6.45-8.30pm
Venue: Taunton's college, Hill Lane, Shirley, Southampton SO15 5RL
Early registration recommended, places are limited and go quickly



Su White March 2008