Stowmarket Striders - Membership

Stowmarket Striders Membership

Welcome to Stowmarket Striders online Membership Application. Membership of the Club is open to anyone interested in the sport without discrimination.

Membership fees set at the AGM on 28th January 2013 are £25 for Adults (15 years and above) payable annually in January.

Having completed the form below you will be directed to the Paypal payment page to make your payment.

If you would prefer to pay by cash or cheque (made payable to Stowmarket Striders) you can print and complete the Membership Form and hand it to the Membership Secretary (Harry Smith), together with your membership fee.

Membership Year*
First Year of Striders Membership?

Yes
UK Athletics Number
Title
Firstname*
Surname*
Address*
Address line 2
Address line 3
Postcode
Telephone Number
Mobile Number
Email address
Date of Birth*
Day Month Year
Gender*
Tick if you are joining as a 2nd Claim Membership

Tick if Yes
Medical Details
Emergency Contact
Emergency Contact Phone No.
Optional Information
Occupation
Please detail any sports or medical related skills and qualifications
Please tick here if you would NOT like your contact details to go into the Membership Contact Book available only to club members

Tick
I apply for membership of Stowmarket Striders Running Club and agree to abide by the rules of the club, the Equity Policy and Codes of Conduct.
I also agree that the Stowmarket Striders Running Club will hold my details for the purpose of club administration.

Should I wish to join as an Affiliated UK Athletics member I also agree that minimal detail will be passed to England Athletics for the application of my individual Competition Licence. No details shall be passed on to 3rd parties other than those stated above.
Should be Empty:

Stowmarket Striders Membership

Optional Information