Stockport Harriers & A.C. Membership 2018/19
For membership from 1st April 2018 to 31st March 2019
Member details
Please complete all fields
Email address *
Your answer
New / Renewal *
Full name *
Your answer
Title
Your answer
Gender *
Date of birth (DD-MMM-YYYY) *
Your answer
Address 1 *
Your answer
Town *
Your answer
Postcode *
Your answer
Mobile telephone number *
Your answer
Name of Stockport Harriers coach
Your answer
Are you currently a member of another athletics club?
If 'YES' above are you joining Stockport Harriers as First or Second Claim
Name of previous club and date of resignation
Your answer
List any athletics coaching qualifications below
Your answer
List any medical information/disabilities we need to be aware of (or put N/A)
Your answer
Emergency contact details (Name/contact number/relationship to you)
Your answer
Calculate your fees
Please pick one category from Section 1 AND one category from Section 2
Section 1: Club membership fee
*
Section 2: England Athletics membership (EA)
Will you compete in any local, regional or national competitions (Cross Country, Track & Field, Youth Development League)? Will you run in UKA road races as a Stockport Harriers and receive £2 entry reduction in race entries? If you tick ‘No’ you must run as an 'UNATTACHED' runner and pay the 'unattached' entry fee for the event.
*
TOTAL FEE: *
Your answer
Method of Payment *
Membership fees explained
There are 2 parts to the membership fee:

1) Club membership (e.g. £27 for Seniors). This covers club expenses, insurances, purchase and maintenance of equipment and entry fees for team events.

2) England Athletic (EA) registration fee.
Members wishing to compete in leagues, championship events and road races must be England Athletics (EA) registered and pay the EA fee in addition to Club membership.The EA fee (£15 for 2018/19) is payable for competing members aged 11 or over. We pass this directly to EA on your behalf.

DECLARATIONS
Please tick all boxes below *
Required
SHAC must gain active consent to communicate with you. Please indicate your consent to receive email correspondence relating to the items below by ticking the boxes: *
Required
Payment
Payment is via BACS or cheque:
- BACS (account: 19342879, sort code: 830425, reference: surname-postcode)
- Cheque (Payable to Stockport Harriers. Please add surname and postcode on the back of the cheque)

Please send cheques to:
Membership Secretary, 14 Craig Close, Stockport, SK4 2BH

What happens next
After your form is submitted to us then we will wait for the payment (if required) to arrive and then we will process your membership request (either new membership or renewal). If you have joined as a new competing member then you will receive your URN (Unique Registration Number) from England Athletics. You will use this number when entering races as a Stockport Harrier.

Welcome to Stockport Harriers!

If you have any questions please contact the membership secretary (Trevor): membership.shac@gmail.com

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