Membership

First name(s)*

Last name(s)*

Gender at Birth*

Gender at Birth (2nd Applicant)

Date of Birth*

Address*

Phone*

Email*

Emergency Contact Name*

Phone*

Relevant Medication*

Any Existing Medical Conditions*

Fees*

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

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

Couple (Joining 1st April - 31st December)£70

Couple (Joining 1st January - 31st March)£35

Couch to 5k£40

Second Claim£20

Occasionally, photos are taken on sessions and posted on our closed Facebook page. Do you agree to this?*

Yes

No -

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.

Signature*

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Date*

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

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