2nd Claim Membership

As of 2018, we now offer 2nd claim membership.

This is for members of an existing club wishing to also join Team Anstey as a 2nd claim member.

The price of 2nd claim membership follows a pro-rata system as seen here.

Team Anstey 2nd Claim Membership Form

* Indicates required field

Title *

Name *

First

Last

Sex *

Male Female

Date of Birth - DD/MM/YYYY *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please identify which club is your first claim club *

What is your URN? *

Next of Kin: Name *

First

Last

Next of Kin: Contact Number *

Any medical conditions we should be aware of. If none please state none *

Please Confirm *

I agree to abide by the rules of the club as stated within the club constitution on the team website located at https://www.teamanstey.co.uk/club-constitution.html

Confirm if appropriate *

For members aged 15-18 years of age you, as their parent or legal guardian, are confirming that you give consent to your child being allowed to have their picture taken and uploaded online

Please Confirm *

Team Anstey is a not for profit organization and the group leaders are willing to share their experience and enjoyment of the sport with you

Please Confirm *

I understand that participation in this group is entirely at my own risk and I should consult a doctor if suffering from any conditions or injuries that might impact my health

Please Confirm *

I give consent for the club to process any health information as described in the Privacy Policy located at https://www.teamanstey.co.uk/privacy-policy.html

Once you have completed the form, please sign, date and click Submit to send the form to our Membership Secretary. Once you see a confirmation message then please make your payment either via the Shop button below or you can pay by cash, cheque or bank transfer into: Account Number: 41047435 Sort Code: 560055

Name *

Date *

Submit

2nd Claim Membership

£13.00

Team Anstey 2nd claim membership

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