Membership Application

By submitting this application I agree to abide by the rules of the Hamilton Marathon Clinic. I understand that, as a member of the Hamilton Marathon Clinic I participate in its activities entirely at my own risk.

Annual subscription = $75
Bank Account for Online Banking: 03-1556-0065373-00
For "Particulars - Code - Reference" use "First Name - Surname - HMC Sub"

By mutual agreement between the Hawks and Hamilton Marathon Clinic, if you are a registered member of one Club you may join the other Club for $15 per annum. Proof of registration is required.

For a printable version of this application form, click here (post with your cheque to Hamilton Marathon Clinic, PO Box 1015, Hamilton)

First Name
 
Last Name
 
Email Address
 
Street
 
Suburb
 
Town/City
 
Date of Birth
 
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Member of HMC
 
Do you have any medical problems that we should be aware of?
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Confirmation Code
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Confirmation Code
 
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