Membership

£20.50 – Full Year – Adult – Covers membership for the period 1st April to 31st March. Includes mandatory £15 EA registration fee.

£18.00 – Part Year – Adult – Covers membership for the period 1st Sept to 31st March. Includes mandatory £15 EA registration fee.

£10.50 – Second Claim – Covers membership for those who are currently registered with another club (as their “First Claim”) for the period 1st April to 31st March.

£10.50 / £18.00 – Walking – Covers membership (Single or Couple) for the period 1st April to 31st March. Does not include EA registration.

First Name

Last Name

Email address

Gender

Male

Female

Prefer not to say

Membership Category

UKA Affiliation Required? (As First Claim Club)

For Second Claim Members please specify your First Claim club

Date of Birth

Mobile Number

Address

Emergency Contact

Name

Contact Number

Medical Details

Medication Required?

Medication Information

Do you have any allergies?

Please provide details of allergies

Additional Support

Please detail below any disability you have and/or any additional support you may require from our club coaches/run leaders.

Please check box to confirm you have read the Nantwich Running Club Governance Rules and Code of Conduct. Details can be found on the website.

Please check box to confirm you have read the Nantwich Running Club Running Rules & Safety.

Please check box to confirm that your medical details may be shared with the coach & run leaders.

Membership

In Association With