APPLICATION FORM
NAME…………………………………………………………………………………
ADDRESS………………………………………………………………………………
…………………………………………………………………………………………..
POST CODE……………………………………………………………………………
DATE OF BIRTH……………………………CATEGORY…………………………..
TELEPHONE NUMBER………………………………………………………………
E MAIL……………………………..............................................................................
NO OF YEARS IN COMPETITION…………………………………………………..
PREVIOUS CLUBS/ ORGANISATION………………………………………………
…………………………………………………………………………………………..
PAST PERFORMANCE[INCLUDING MOST RECENT]
ROAD…………………………………………………………………………………...
…………………………………………………………………………………………..
…………………………………………………………………………………………..
TRACK…………………………………………………………………………………
…………………………………………………………………………………………..
…………………………………………………………………………………………..
TIME TRIALS………………………………………………………………………….
…………………………………………………………………………………………..
…………………………………………………………………………………………..
FUTURE AMBITIONS………………………………………………………………...
…………………………………………………………………………………………..
…………………………………………………………………………………………..
I AGREE TO ASSIST IN CLUB ACTIVITIES AND PROMOTIONS, I ALSO
AGREE TO ABIDE BY ALL DINNINGTON RACING CLUB RULES.
SIGNATURE……………………………………………..DATE……………………...
Return to: Joe Marsh. 64 GAUNT ROAD BRAMLEY, ROTHERHAM S66 3YL