WERR Membership Application Form

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Please use this form to apply to join West End Road Runners. Membership is for adults only 18 years + and is for one year from the date of joining.

Please note that an email with your choices will be sent immediately after submission which you can edit at any time. Please make sure your email is spelled correctly.

If you do not receive one it may have gone to spam. If it is not there please email werrmembership@gmail.com
Thank you

Email *

Which category would you like to join? *

Membership £80.00 per year

Membership 2 x £40.00 per year

Membership for existing Woodend Tennis, Bowling or Alternative Members £48.00 per year

First Name *

Surname *

Date of birth *

YYYY

Address Number & Street *

Address Town/City *

Post Code *

Mobile phone number *

Any medical conditions (If none write "none") *

Emergency contact name *

Emergency contact phone number *

In the event that you are injured whilst in the care of the club please select an option. *

I give consent for medical treatment to be administered

I do not give consent for medical treatment to be administered

Do you have a coaching or other leadership qualification?

Yes

Clear selection

If yes please provide details

Are you currently a guest on our TeamApp? *

Yes

Gift Aid Declaration

As a charity WERR can claim a proportion of tax back on your membership fees if you make a gift aid declaration. This is at no cost to you.

Please state whether you are a UK taxpayer and would like to make a gift aid declaration or not on your membership.

Yes

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