Membership Form - Evesham Vale Running Club 2021-22
Membership renewal £26.50

New member Fees :-
April –October £26.50
November-March £16.50

2nd Claim membership £11.50

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Email *
Membership Type *
Required
URN/EA Number (if known)
Title *
Please remember to keep your England Athletics details up to date. Contact the club Membership Secretary for help.
Last Name *
First name(s) *
Address line 1 *
Address Line 2
Address Line 3
Town/City *
County *
Postcode *
Date of birth *
Enter in the format: dd/mm/yyyy, e.g. 31/12/1970. If you have any problems please try mm/dd/yyyy, You must be at least 18 to run with the club
MM
/
DD
/
YYYY
Your Phone Number
Either a landline or mobile, whatever is best should we need to contact you
Emergency contact name
Please give details of anyone you would like us to contact in the event of an emergency
Emergency contact phone number
Please tell us how you have paid *
We prefer England Athletics online payment as it is easier for everyone. New members will receive a email with payment link after i register you. If you choose this option then you will get an email with a payment link from England Athletics (after April 2nd). If you pay by bank transfer the club bank account details are - Sort Code: 309311 Account: 00483901 Payment reference : Your Name
Bank transfer, cash or cheque please state date paid. If EA online payment then enter EA and I will send the link. *
By ticking this box I agree to the club keeping this information and passing your details to England Athletics to register me as a paid up athlete and get discounts on race entry. The club will not pass this data to any other third party without your permission and will delete it at your request or if your membership lapses. I also agree that photographs of myself may be used appropriately by the club. *
Required
By ticking this box I agree to abide by the club rules as detailed in the membership pages ( https://eveshamvalerunningclub.org.uk/wp-content/uploads/2020/01/MembershipRulesandInformationEVRC.pdf ) and I accept all risks associated with running. I waive and release Evesham Vale Running Club from all claims and liabilities of any kind arising from my participation in the club. * *
Required
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