Membership Form 2024-25

Membership Type *

Are you joining as a Standard Member or as England Athletics Affiliated?

Standard Member (non EA Affiliated) £20

EA Affiliated (£20+£19) £39

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Gender *

Male

Female

Other

Prefer not to say

ICE Contact Name *

In case of emergency Contact Name

First Name

Last Name

I have read the Code of Conduct and Privacy Policy *

Read Code of Conduct

Read Privacy Policy

Would you be interested in any of the club volunteering opportunities?

(Please tick all that apply)

Club Committee Roles

Event Organising

Run Leading