New Membership Application Form

    Personal Details:

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    Enter Telphone Number format: 01234567890
    This is a required question
    Enter Telphone Number format: 01234567890
    This is a required question
    Must be a valid email address
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Miscellaneous Club info:

    This is a required question

    Interests:

    This is a required question

    Sharing Details with Club members:

    We produce a list of club members with members’ names, addresses, telephone numbers and e-mails which is available to all club members for their reference.
    This is a required question

    Subscription:

    Subscription is £30 for the year for first Claim members and £20 for second claim members. The membership period runs from September to September. If you join on or after the 1st of July then your renewal won't be due until September the following year. New members joining on or before 30th June will need to renew membership in September of the same year. You can pay by cash, cheque (cheques made payable to “Dursley Running Club”.) or preferably paid directly into the Running Club Bank account as follows. Bank: Lloyds, Sort code: 30 98 29, Account No: 02213663. Use Ref: Subs-First Letter of ForenameSurname e.g. Subs-MJohnson The subscription includes membership of England athletics & associate membership of Dursley Rugby Club. You will be allocated an England Athletics number and they will send you a card through the post. We can’t guarantee when they will do this, but you should receive it within a couple of months from now.

    Data Protection Information

    Dursley Running Club will gather, store, process and secure your personal data in line with the requirements of the Data Protection Act 1998. Whilst these details may be shared with third parties such as UKA Athletics, for affiliation purposes, they will not be shared or disclosed for marketing activities.

    Captionless Image

    Declaration:

    I am over 16 years of age and wish to become a first/second claim member of Dursley Running Club. I declare that I am an “Amateur” as defined by the Amateur Athletics Association and I agree to abide by the rules of the club. I am willing to contribute to the club events when required.
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Captionless Image