JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rather Be Canicrossing Membership 2025-2026
Before completing this form, please ensure you have read the RBC Guide to Membership for 2025-2026. You will be asked to agree to the guidance and conditions contained in that document.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Type of membership required:
*
Adult Single (£7.50 per year)
Adult Joint (£10 per year)
Single Adult Family - 1 adult and all U18s in household (£15 per year)
Two Adult Family - 2 adults and all U18s in household (£20 per year)
Child/Student Membership - U18 or in Full Time Education (£2.50 per year)
Is this a Renewal or New Membership?
*
New Membership
Renewal
Adult 1* Name:
*Or child/student in case of child/student membership application
Your answer
Adult 1 - Date of Birth
*
MM
/
DD
/
YYYY
Adult 2 - Name
Your answer
Adult 2 - Date of Birth
MM
/
DD
/
YYYY
Child Membership Details
Please include names, ages and gender of each child to be included in the membership
Your answer
Household Address
*
Your answer
Email address
*
One email address per membership form to be used as point of contact for all members
Your answer
Mobile phone number
*
One phone number per membership form to be used as point of contact for all members
Your answer
Medical and/or Additional Needs of all members
*
Please detail any medical or additional support needs for members.
If there are no medical or additional needs please respond with 'Not Applicable'.
Your answer
Will any members be carrying medical devices or equivalent while running (eg inhalers, epi-pens, glucose for diabetes etc).
*
Please ensure details of anything being carried by a member is mentioned in the medical details box above.
No
Yes
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rather Be Canicrossing.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report