NORTH SOMERSET HOCKEY CLUB

 

 

Name: ………………………………………………………..

 

Address: ……………………………………………………

 

…………………………………………………………………

 

…………………………………………………………………

 

Tel No’s: Home……………… Work…………………. Mobile……………………………

E-Mail Address ………………………………………………………….

 

Emergency Contact Details: …………………………………..

………………………………………………………………………………………

………………………………………………………………………………………

 

 

I wish to become a Member of North Somerset Hockey Club and hereby agree to abide by the Rules of the Club. I acknowledge that until I have paid the Membership fee of £30.00 I may not be selected to play at the discretion of the Club Committee.

 

Signed: ……………………………………………………………

Dated : .……………………………………………………………

 

N.B: Cheques should be made payable to North Somerset Hockey Club and sent to Charlie Hart, 20 The Crescent, Milton, Weston-super-Mare, BS22 8DT.

 

For more information the club website is as follows: www.northsomersethc.org.uk