Membership

First name(s)

Last name(s)

Gender at Birth

Gender at Birth (2nd Applicant)

Date of Birth

Address

Phone

Emergency Contact Name

Phone

Relevant Medication

Any Existing Medical Conditions

Fees

Individual (1st April - 31st December)£40

Individual (1st January - 31st March)£20

Couple (1st April - 31st December)£70

Couple (1st January - 31st March)£35

Couch to 5k£40

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I wish to apply for club membership & declare that I am an amateur according to UK Athletics rules. I consider myself fit & healthy enough to run.

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Date

By clicking Submit, you will be taken to a payment portal to complete your membership purchase.