Welcome to Bideford Bombers                                      Membership £12 per person

 Full Name............................................................ Date of Birth .....................

Address .............................................................................................................

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Postcode.............................. Telephone ..........................................................

Date of Membership........................................................................................

EMERGENCY CONTACT NAME, ADDRESS AND TELEPHONE

1.                                                    2.

ANY MEDICAL CONDITIONS: ASTHMA, ALLERGIES, ETC

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NAME AND ADDRESS OF FAMILY DOCTOR

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BIDEFORD BOMBERS TRAIN AT POLYFIELD TRACK AT ALL TIMES THERE WOULD BE NO REASON FOR ANY BOMBER TO LEAVE THE TRACK ONCE TRAINING HAS BEGAN. PLEASE STATE WHETHER YOU WILL BE COLLECTING YOUR CHILD OR WHETHER THEY WILL BE MAKING THEIR OWN WAY HOME AT THE END OF TRAINING.

MANY THANKS JUSTIN GATTING

Please take the form to the track or post with a cheque made payable to Bideford Bombers BMX to
Bideford Bombers BMX c/o 14 Tomouth Road, Appledore, North Devon EX39 1QD