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Copyright © 2016 Jurojin Ltd. All Rights Reserved

Membership Form

Renewal:

Fee Paid:

Please note your email address is important to us as it is our preferred method of communication with you.

Migraine

Club Instructor:

Club:

Epilepsy

Diabetes

Heart Problems

Haemophilia

Respiratory Problems

Have you ever been convicted of a crime of violence:

Do you suffer from any of the following (Please mark all that apply):

I agree that I shall abide by the rules of conduct expected of me & give my permission for my personal details to be recorded & retained by the club

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Please note training without valid membership, and hence no insurance cover, is against the rules of the club.

We reserve the right to decline an application without giving reason

Change of Details

If you are renewing your membership and some of your details have changed since last year then please complete the online membership form so that we have your most up to date information on record.

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Membership Payments

Fees Payable:

Junior Fee:         £20

Junior Half Price  £10

Junior Taster      £16

Senior Fee:        £40

Senior Half Price  £20

Senior Taster      £32

Payment Instructions

If you need to make more than one payment then provided they are both the same i.e. Junior or Senior you can select the quantity required at checkout.

Payment is via PayPal’s Secure Servers & will be to Jurojin Ltd

Important: You have the option of adding your membership No. As an “instruction to merchant”. The field is available  within your account. Please use it to ensures your payment is correctly allocated.

Note

Half Price Values are for students who qualify for Family Discount

Taster values are for students who have just completed their taster course