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Title First Name Last Name Known As
*University Cambridge Oxford *College Oxford: All Souls Balliol Blackfriars Brasenose Campion Hall Christ Church Corpus Christi Exeter Green Templeton Harris Manchester Hertford Jesus Keble Kellogg Lady Margaret Hall Linacre Lincoln Magdalen Mansfield Merton New Nuffield Oriel Pembroke The Queen's Regent's Park Somerville St Anne's St Antony's St Benet's Hall St Catherine's St Cross St Edmund Hall St Hilda's St Hugh's St John's St Peter's St Stephen's House Trinity University Wadham Wolfson Worcester Wycliffe Hall Cambridge: Christ's Churchill Clare Clare Hall Corpus Christi Darwin Downing Emmanuel Fitzwilliam Girton Gonville and Caius Homerton Hughes Hall Jesus King's Lucy Cavendish Magdalene Murray Edwards Newnham Pembroke Peterhouse Queens' Robinson St Catharine's St Edmund's St John's Selwyn Sidney Sussex Trinity Trinity Hall Wolfson Year of Matriculation Year of Graduation
Main events and best performances First Claim Club Date of Birth EA Registration No
Place of Birth School Degree subject(s) studied Any other interesting notes Vest Size (for your complimentary Club Vest) Ladies' S Ladies' M Ladies' L Mens' S Mens' M Mens' L

First line of address Second line of address Third line of address Town County Postcode
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*My preference regarding the Achilles Annual Report Digital Version I would prefer to have a hard copy Do not send me an Annual Report, either electronically or as a hard copy

  I am happy to be contacted by email in relation to upcoming club events, such as dinners, competitions (e.g. Varsity match), Tours, club kit sales, and special reunion events.
  I am happy to be contacted by phone in relation to management of my Achilles membership and other contact details.
  I am happy to to be contacted by phone by competition team managers or tour managers for the purposes of team / tour management.

  I declare that I am an amateur according to the current UKA definitions.
  I understand that the details on this form will be included on the Achilles Club Membership Database.
  I accept membership of the Achilles Club and agree to pay the required annual subscriptions (currently £25 p.a., but reduced to £10 p.a. for undergraduates and other students in full-time education) for as long as I remain a member. I understand that a recurring annual payment will be made by card, using the Stripe payment processing system, and that Stripe will securely hold on file details of my chosen payment method to facilitate that (a reminder will be sent to the email address given above in advance of each annual renewal charge being made). I have read and understand the EA/UKA Code

  I have read and agree to the Achilles Club policies, including those relating to privacy, diversity, safeguarding, and anti-doping.

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