Membership type *

Full

Social

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Are you (or have you been) a member of another athletics club *

Yes

No

By ticking this box, I confirm that I believe I am medically fit to run and do so at my own risk. *

Confirm

By ticking this box, I confirm that I will update the Wilmslow Striders management team if any of my medical information changes.

Confirm

By ticking this box, I confirm that I have read the Wilmslow Striders ‘Return to Training’ guidelines.

Confirm

Contact name *

First Name

Last Name

By clicking on the submit button you accept that *

By clicking on the submit button you accept that Your personal data will be held on a computer by Wilmslow Striders for club purposes only Your personal data will be shared with coaches and run leaders Your personal data will be passed to England Athletics Your e-mail address may be used by committee members for circulation of important club information Your mobile phone number may be used by committee members for circulation of important club information Photographs/videos may be taken of the person named on this form when competing or training.

Confirm