DENMEAD STRIDERS MEMBERSHIP APPLICATION/RENEWAL

If you intend to enter races, you will also be required to complete an England Athletics Membership form, which should also be passed to the membership secretary.  You will not be able to compete in races unless you have a registration number.  The club will pay the UKA fee on your behalf as this is included in your
Denmead Striders membership fee.

Click HERE to download England Athletics form

Name

 

Address

 

 

Post Code

 

Telephone

 

E-mail address

 

Date of Birth

 

England Athletics Registration Number (if you already have one)

 

If joining as second claim, please enter first claim club name

 

NEW MEMBERS
Where did you hear about the Club i.e. website, friend, local race, newspaper?

 

Please note that you cannot join the Club unless you are over 18 years of age

Data Protection Act: Data contained on this form and data relating to race results will be held on a computer database for the use of Denmead Striders Running Club only and for sending information out to members by post or electronic means.
By signing this form, the Club assumes you consent to this arrangement.

Signed

 

Dated

 

Membership fee is £15.00

Please make cheques payable to ‘DENMEAD STRIDERS’

PLEASE PASS COMPLETED FORM AND MONEY DUE TO JULIA REVILL ON A WEDNESDAY NIGHT OR ALTERNATIVELY POST TO:

Julia Revill – Membership Secretary
2 Sutton Road
Waterlooville
Hants
PO8 8PU
Telephone No: 023 9243 9892