New Member Application Form – Sidmouth Running Club

SIDMOUTH RUNNING CLUB

New Member Application Form for 2019

Form for New Individual Membership paying by Bank Transfer

For Family Membership please use the appropriate paper form below

If you want to pay by cheque or cash please use the link below

Paper Application Form for New Members paying by cheque or cash

Name *

First

Last

Address and Post Code *

Email *

Telephone Number *

I wish to renew my membership of Sidmouth Running Club and confirm that I am an amateur as defined by England Athletics. I agree to be bound by the Constitution and Rules of the Club and those of England Athletics. When you renew your membership with SIDMOUTH RUNNING CLUB you have the option as set out in the Privacy Policy, Item 5, by opting out of your details being forwarded to England Athletics. If you DO NOT want your information forwarded please tick the box below

Do you want to have your details forwarded to English Athletics? *

The Constitution, Rules and GDPR Privacy Policy can be found on the website.

Signed *

Date *

Very Important: Only paid up members of the Club are automatically covered by the Club Insurance. It is your responsibility to maintain your membership. The Club will remind you mid-January and if not paid by 31st January you will no longer be a member.

Subscription Rate: Individual: £15

Plus an optional £15 for an England Athletics Competition Licence. This entitles you to enter UKA Licensed events as an affiliated runner at a discounted price of £2 an event.

EA Licence *

How to pay *

Pay by Bank Transfer (Preferred). - ensure your name goes in reference box - Sort code: 40 42 02, A/C 61493078
Pay by cheque
Pay by cash

Name