New Membership Form - Leicester aikido Club

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British Aikido Federation
Head Office, Yew Tree Cottage Toot Baldon, Oxford OX44 9NE
Application for Individual Membership
Name of Dojo: …………………………………………….
Personal Details:
Surname
Forename
Date of Birth
Address
Post Code
Post Code
B.A.F. Membership number, if renewing
Data Protection Act
It is a requirement of the Data Protection Act 1998 that persons give their written authorisation to have
their details recorded. By signing the box below, you are allowing your personal details to be recorded
both on the British Aikido Federation data base and that of the British Aikido Board. These databases
are NOT distributed to any other third party and are NOT used for non-Aikido related functions.
Failure to sign below will mean that you cannot be a member of the British Aikido Federation.
Print
Name
Signature
Date
Applicant is:
SENIOR
STUDENT/CONCESSIONARY
JUNIOR
Membership is New / Renewing
Membership commencing (month) : _________________________ 200
Signature of Dojo Secretary/Instructor: _________________________ Date ________________
This form should be sent together with the appropriate membership fee and ONE photograph to the B.A.F.
Membership Secretary at the Head Office address above.
British Aikido Federation
Head Office, Yew Tree Cottage Toot Baldon, Oxford OX44 9NE
Application for Individual Membership
Name of Dojo: …………………………………………….
Personal Details:
Surname
Forename
Date of Birth
Address
Post Code
Post Code
B.A.F. Membership number, if renewing
Data Protection Act
It is a requirement of the Data Protection Act 1998 that persons give their written authorisation to have
their details recorded. By signing the box below, you are allowing your personal details to be recorded
both on the British Aikido Federation data base and that of the British Aikido Board. These databases
are NOT distributed to any other third party and are NOT used for non-Aikido related functions.
Failure to sign below will mean that you cannot be a member of the British Aikido Federation.
Print
Name
Signature
Date
Applicant is:
SENIOR
STUDENT/CONCESSIONARY
JUNIOR
Membership is New / Renewing
Membership commencing (month) : _________________________ 200
Signature of Dojo Secretary/Instructor: _________________________ Date ________________
This form should be sent together with the appropriate membership fee and ONE photograph to the B.A.F.
Membership Secretary at the Head Office address above.
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