Membership Form - Evesham Vale Running Club
Membership Fees :-

New members : (£25 April-July) (£20 Aug-Nov) (£15 Dec-March)
Renewal : £25 No matter what time of year you renew membership.
Any problems please contact Shawn @ shawn.townsend69@gmail.com

Please enter your current address, phone and email address. We will not pass your details on to any third parties.

Email address *
Membership Type *
Required
URN/EA Number (if known)
Your answer
Title *
Please remember to keep your England Athletics details up to date. Contact the club Membership Secretary for help.
Last Name *
Your answer
First name(s) *
Your answer
Address line 1 *
Your answer
Address Line 2
Your answer
Address Line 3
Your answer
Town/City *
Your answer
County *
Your answer
Postcode *
Your answer
Date of birth *
Enter in the format: dd/mm/yyyy, e.g. 31/12/1970. If you have any problems please try mm/dd/yyyy, You must be at least 18 to run with the club
MM
/
DD
/
YYYY
Your Phone Number
Either a landline or mobile, whatever is best should we need to contact you
Your answer
Emergency contact name
Please give details of anyone you would like us to contact in the event of an emergency
Your answer
Emergency contact phone number
Your answer
Please tell us how you have paid *
We prefer England Athletics online payment as it is easier for everyone. If you choose this option then you will get an email with a payment link from England Athletics (after April 2nd). If you pay by bank transfer the club bank account details are - Sort Code: 309311 Account: 00483901 Payment reference : Your Name
Detailed membership and Data Protection Rules
Our membership and data protection rules are given in detail here:
www.eveshamvalerunningclub.org.uk/membership-rules
By ticking this box I agree to the club keeping this information and passing my name and email to England Athletics to register me as a paid up athlete and get discounts on race entry. The club will not pass this data to any other third party without your permission and will delete it at your request or if your membership lapses. I also agree that photographs of myself may be used appropriately by the club. *
Required
By ticking this box I agree to abide by the club rules as detailed in the membership pages and I accept all risks associated with running. I waive and release Evesham Vale Running Club from all claims and liabilities of any kind arising from my participation in the club. *
Required
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