Membership form 2018/19
If you’d like to join us and become part of our friendly group whilst improving your fitness it couldn’t be simpler, fill in the form below and our membership officer will be in touch.  You’re also welcome to try our sessions for a few weeks before joining.
The club year runs from 1st April to 31st March. The current annual subscription is £25 (of which £15 is UK Athletics membership).

By completing and emailing the below form your are declaring that these are your true details and you are an amateur as defined by England Athletics. These details are required in order to register you with England Athletics they will not be shared with any other company

Personal details:-
Date of Birth DD/MM/YYYY *
Your answer
First Name *
Your answer
Family name *
Your answer
Gender *
Your answer
Address *
Your answer
Postcode *
Your answer
Ethnicity
Your answer
Nationality
Your answer
Contact details:-
Email Address *
Your answer
Mobile number *
Your answer
Emergency contact details:-
Please supply these details in the case of an emergency.
Emergency contact name *
Your answer
Emergency contact telephone number *
Your answer
Medical conditions i.e Asthma, diabetes or allergies. *
Required
If you have answered Yes to medical conditions please supply details:
Your answer
Annual subs
*
Required
I would like to pay by *
Required
Declaration
I declare that I am an amateur as defined by England Athletics *
Required
Submit
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