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Adult TrainingMarathon/Road Runners & BeginnersCross country/Long DistanceMonday, Tuesday, Wednesday, Thursday & Friday 6.30pm at the Clubhouse Sunday 8.00am at the Clubhouse 10.30am St Anne's (Manor House entrance) cross country/track runners For More Information Contact: Sean McGoldrick 087 2248274 Meet and Train Group(Suitable for adult fun runners/beginners) Wednesday, 7.30 at the Clubhouse For More Information Contact: Sinead Lyons 087 2890656 after 6pm or email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it Juvenile Training Athletes 6 – 9 yearsWednesday 5.30p.m. to 6.30p.m in Manor House School Gym Athletes 9-12 years Wednesday 6.30pm to 7.30pm in Manor House School Gym For More Information Contact: Grainne Byrne 087 6681467 For More Information Contact: Colette Quinn 087 6435822 Intermediate Juveniles 13-16 years Contact: Damien Wall 086 2540905 Throwers Group Wednesday 6.45 p.m.- 8.00 p.m. Santry Saturday 10.00 a.m. – 11.30 a.m. Santry For more information about field events contact: Anne Buckley 087 6474450 or Colette Quinn 087 6435822 Sprints and Hurdles Contact: Brian Corcoran 087 688142 Middle Distance Events Contact: Dermot Bradshaw 086 8030198 Senior Men Distance Events Contact: Dick Hooper 087 2271940 Ladies Distance Events Contact: Paul Brady 086 1727118
Raheny Shamrock Athletic Club Registration Form 2012 Name: ………………………………………………………………………………… Address:……………………………………………………………. Date of Birth: ………………………….…. School (if juvenile)………………………................................................................... Home Phone No.: ……………………….. Mobile Phone No.: …………………….. E-Mail Address:………………………………………………………………………… Any Medical Conditions? ……………………………………………………………………… Do you or have you ever suffered from any unexplained fainting, collapsing or fits? Yes □ No □ If yes, please give details: ……………………………………………………………………………………………… Subscriptions Individual Juvenile Member U13 (Manor House Group only) € 70.00 Individual Juvenile Member U14-U19, Junior U20, Student € 90.00 Individual Senior Member €100.00 Family Membership €180.00 Note: Family membership maximum 4 people - 2 adults & 2 children/1 adult & 3 children or 4 children. The relevant individual subscription must be paid for each additional family member. Complete a separate form for each member. If accepted, I agree to abide by the rules of the club. I also understand that the club, its coaches, its members and committee shall not be held responsible for any accidents or injuries sustained by me, from any cause whatsoever or however arising, or for any property mislaid or stolen in the club or its environs. I agree to allow photographs and videos of myself in training and competition to be taken occasionally and posted to the club’s website. Applicant’s Signature: …………………………………… Date:…………………….
(Juveniles Only)
Parent’s Names:…………………………………... . Parents Signature………………………………
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