Online Membership

Personal Details

First Name

Surname

Address

Postcode

Telephone

Email

Date Of Birth

Each quarter the club newsletter "RELAY" is sent out containing details of club events, runs and local races.
Please choose the method by which you'd like to receive the newsletter.

Electronically Print

If Romsey Road Runners will not be your first claim club, please enter your first claim club.

Emergency Contact Name

Emergency Contact Telephone Number

Data Protection

The information on this form will be treated as confidential, held digitally and used only for club purposes.
View full terms and conditions (opens in a new window)

Terms and Conditions

By clicking this box you are agreeing to the Romsey Road Runners terms and conditions

Please indicate if the club can pass on your details to other members.

Yes No

Romsey Road Runners may wish to use your photograph on our website or in the club magazine.
Please indicate if you DO NOT wish to have your photograph used.

DO NOT USE

Would you like to join the RRR Google Group? (We use this as a private mailing list to send out email messages to all our members).

Yes No Already a member

Where did you hear about us?

Please highlight any important medical information that our session leaders should be aware of.
(eg. epilepsy, asthma, diabetes, allergies etc.)
If there is no information please write 'None'.

Membership Fees

Membership Period

January - December 2019 (£40) May - December 2019 (£35) September - December 2019 (£30) C25K - 2019 (£30) * prices include £15 England Athletics membership

EA members receive several additional benefits, these include entry discounts of at least £2 on UKA licensed road and multi-terrain events
More info on EA membership benefits.

Are you a full-time student or junior?

Yes (50% consession) No

England Athletics (Opt-Out)

If you do not wish to receive membership benefits by joining England Athletics you may opt-out by checking this box

Membership Fee Due

Payment Method

Online (Direct Debit) Online (Card) Other (ie .Cheque)

You will be redirected to pay after submitting the form (Payments by GoCardless) You will be redirected to pay after submitting the form (Payments by Stripe) Please make cheques payable to Romsey Road Runners

Membership Declaration

I agree to bide by the rules of the club as laid down in accordance with those recommended by UK Athletics. Details can be found at www.romseyroadrunners.co.uk. I declare that I am medically fit, that I intend to run entirely at my own risk, that I will follow the instructions of the sessions leaders and I confirm that Romsey Road Runners shall not be liable for any accident, injury, loss or damage as a consequence of my participation as a club member.

I understand and agree

Application for Membership

Personal Details

Data Protection

Membership Fees

Membership Declaration