Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Date of Birth

Gender

Male Female

Membership Start

When would you like your Membership to start?

As Soon As Possible Specific Date UKA (English Athletics) 2018-2019

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred Membership category

	Category	Cost

NDRR Section

	Category	Cost
	New Member First Time joined the club Only available to Male, Female, Other only aged 18 or over.	£26.00

Trial Membership Section

	Category	Cost
	Trial Membership e.g. Seeing if you like the club, etc. YOU DO NOT NEED THIS TO SIMPLY ENTER A RACE After 20 days, full club membership is required unless you negotiate an extension) Only available to people aged 18 or over.	£0.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://www.northdevonroadrunners.com/Home/TermsAndConditions) and the Privacy Policy (https://www.northdevonroadrunners.com/PrivacyPolicy;).

Signature

Date

Please return completed forms to: North Devon Road Runners, Physical address: North Devon Road Runners Tarka Tennis Centre 7 Brethren Bank Barnstaple Devon EX31 2AP Postal address: North Devon Road Runners Ltd PO Box 396 Barnstaple EX32 2HN

Use this form to send an email to another Member. You may only send to one Member at a time. Your registered email address will be passed on to this Member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the Running Club Officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

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