Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Full Member (incl. EA) This category gives you full access to all club activities and training. In addition all the benefits from England Athletic affiliation is also available to you. Only available to people aged 18 or over.	£14.00
	Full Member (NO EA) This category gives you full access to all the clubs activities and training. It does not entitle you to any benefits from England Athletic affiliation. Only available to people aged 18 or over.	£20.00
	2nd Claim (NO EA) This is for people who are already affiliated to England Athletics via another club and also want to run with us. This category gives you full access to all the clubs activities and training. Any benefits from England Athletic affiliation are already in place from your parent club. Only available to people aged 18 or over.	£16.00

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.itchenspitfiresrc.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://www.itchenspitfiresrc.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Itchen Spitfires Running Club,

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 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

Title

Description

Outdated Browser

Sandbox Mode