ࡱ> #%"7 tbjbjUU *7|7|tl XZZZZZZ$ ~~XXXX^XXXXXXX 1 fXX0XQXQXXBradley Stoke & Special Needs Judo Club Membership Form Kano Club: Yes/No Licence No: . BSJC Mem No. Name ................................................. D of B ............... Address ..... Date of Joining . . . Postcode . Tel No: Emergency Contact: . School (if under 16) . E-mail Address: . Medical/Special Needs . . Latest Grades and Date achieved . BRADLEY STOKE JUDO CLUB WEBSITE - We should be grateful if you would give your permission for yourself/son/daughter to have your/their photo appear on our website should the need arise, eg team photographs. If you have any concerns with this before you consent please see Steve Westlake or a member of the committee. I give my permission for my/my daughters/my sons photo to appear on the web. Signed . Date .. Paid __________________ Renewal ________________ 79:l~uBt B*ph5 >*CJaJ5>*CJaJ (89:kl~*+?@[\stu$a$t45RSABt(1h. A!"#$% i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph Fontt "&tttt:>Y`qt?ABFGY[bvcjlx@Zj.0@v::::::::::::KYvv SBBsv@ dmt@@UnknownG:Times New Roman5Symbol3& :Arial"1h…&(tF[r&!Z20t3KX'Bradley Stoke & Special Needs Judo Club private user O'Connell Oh+'0   4@ \ h t (Bradley Stoke & Special Needs Judo Clubrad private user & rivriv Normal.dotr O'Connellr3CoMicrosoft Word 9.0c@G@8ǩ@R{A@p  ՜.+,0 hp|  e (Bradley Stoke & Special Needs Judo Club Title  !$Root Entry F &1Table WordDocument*SummaryInformation(DocumentSummaryInformation8CompObjjObjectPool    FMicrosoft Word Document MSWordDocWord.Document.89q