Contact Us
Chairman - Paul Hawkins01789 842681chairman@stratfordac.co.uk
Senior Membership Secretary - Lesley Kirk01789 261980membership@stratfordac.co.uk
U11/U13 Junior Membership Secretary - Lynne Doy01789 774754 u11u13membership@stratfordac.co.uk
U15/U17/U20 Junior Membership Secretary - Helen Lane01789 269174u15u17u20membership@stratfordac.co.uk

Stratford upon avon Athletic Club

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Junior Membership Application/Renewal

We have waiting lists for most age groups, so please wait until you hear that a place is available before applying and paying online.

Up to date personal details are extremely important to us, therefore, to keep our records up to date, it is imperative you inform the relevant membership secretary of any changes immediately e.g. address, telephone numbers, email, medical information etc.

 Similarly, out of courtesy, we would like you to inform us if for any reason the Athlete no longer wishes to be a member of the club. 

First Name *  
Last Name *  
Gender *
Date Of Birth (DD/MM/YY) *
Email *  
Home Tel
Mobile Tel
School Name
School Year  
Medical Condition?
Please check and  detail below any important information that our Coaches/Junior  Coordinator/Child Welfare Coordinator should be aware of (e.g. epilepsy, asthma, diabetes, etc)
Medical Condition Details
Emergency Contact 1 *  
Emergency Tel 1 *
Emergency Contact 2
Emergency Tel 2
Disability?
The Disability Discrimination Act 1995 defines a disabled person as anyone with a physical or mental impairment, which has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities. Please check and detail below
Disability Details
Address (Line1) *  
Address (Line 2)
City *  
County *  
Post Code *
Sibling
Sibling Name
Declaration
I agree to my son/daughter/child in my care taking part in the activities of the club. I understand that I will keep the respective Age Group Leader informed immediately of any changes to a childs situation e.g. illness/disabilitiy.contact details. SUAAC will make all reasonable endeavors to keep parents informed (by e mail) of any changes to the clubs activities activities - e.g. session times. I understand that in the event of injury/illness during a child is in the care of SUAAC, all reasonable steps will be taken to contact me and to deal with that injury/illness appropriately in line with SUAACs Child Protection policies
Parent Name *  
Type Of Membership *