BHAA Membership Form Below
Please copy and print or Edmond will have forms at training Wednesday evening at 7pm at Co Op Stores Market Green and also at training next Monday evening.
You will need to be registered for next Sundays race in Little Island.
IFF Jan 22
This 5k race takes place in Little Island with registration at the Little Island Sports Hall. This is now being run by IFF-Dupont. Note the new route which takes in almost 2 loops in Eastgate Business Park due to the new road layout and roundabout.
BHAA MIDLETON COLLECTIVE TEAM Membership Application Form
Employer: _MIDLETON COLLECTIVE
Address: THE LODGE,
___________________________________________
Team Secretary:_Edmond O’Sullivan
Address:__Glaramara, Suncourt, Midleton.
Contact Telephone Number:__086/8323267
Applicants
Name:______________________________
Address:_____________________________
_____________________________________________
Telephone Number: (home)____________ (work)_021/4632901
Date
of Birth:______________
Category:( please tick) Ladies_____Men_____
Veteran 0/35.... 0/40....
0/45.... 0/50.... 0/55....
0/60.... 0/65.... 0/70....
I _____________________wish to apply for full membership of the
Business Houses Athletic Association for the membership year 2022.
I confirm that I am an employee of the above named employer. In applying
for membership, I agree to be bound by the rules of the Business Houses
Athletic Association.
Team Membership fee of €10 (full
annual membership) is enclosed.
Cheques & Postal orders should be made payable to Cork BHAA (Please do not send
cash through the post).
Signature_______________________
Date __________________________
Note: The Business Houses Athletic Association reserves the right to
obtain confirmation of employment.
Please send the completed form and cheque or postal order ( NO CASH) to -
Kevin Cummins, 24, Ashleigh Drive, Skehard Road, Blackrock, Cork Telephone: (021) 429 2509 or kevcummins@eircom.net
