Road Running (Hare) Membership Form

Hadleigh Hares Membership Form
Membership Types*
prevnext( X )
Adult Membership(£35.00 for each year)

Family/Joint Membership(£60.00 for each year)

Over 60's & Student Membership(£23.00 for each year)

Junior Membership(£15.00 for each year)

Second Claim Membership(£15.00 for each year)
Full Name*
First NameLast Name
Date of Birth*
DayMonthYear
Mobile Number*
Area CodePhone Number
E-mail*
How Many People are in Your Family/Joint Membership?*
2345
Full Name Person 2*
First NameLast Name
Date of Birth Person 2*
DayMonthYear
Mobile Number Person 2*
Area CodePhone Number
Email Person 2*
Full Name Person 3*
First NameLast Name
Date of Birth Person 3*
DayMonthYear
Mobile Number Person 3*
Area CodePhone Number
Email Person 3*
Full Name Person 4*
First NameLast Name
Date of Birth Person 4*
DayMonthYear
Mobile Number Person 4*
Area CodePhone Number
Email Person 4*
Full Name Person 5*
First NameLast Name
Date of Birth Person 5*
DayMonthYear
Mobile Number Person 5*
Area CodePhone Number
Email Person 5
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number*
Area CodePhone Number
Would you like to join the TRI section email list?*
YesNo
Data Protection: your email address will be used for the committee members to contact you; it will also be registered with the UKA. It will not be passed to any other third party.
Hadleigh Hares is run totally by volunteers for the benefit of all members. With this in mind all members are required to support the committee and coaches as much as possible by volunteering to help on club events wherever possible.
I agree to coaches using photographic and video analysis as an aid to coach my child which will not be used for any other purpose*
YesNo
I agree to photos of me at club sessions and events being used on the Hares web site and in promotional material*
YesNo
Do you have any medical conditions or disabilities we should be aware of?*
YesNo
Please give us details*
Are you a member at another club?*
YesNo
Club*
Membership Number*
Are Hadleigh Hares your first or second claim club?*
FirstSecond
Hadleigh Hares are affiliated to Suffolk AAA, BTA and SEAA/UKA for Road Running and Cross Country. Rules of membership and competition as contained in current UK: Athletics "Rules for Competition"
Sport can and does play a major role in promoting inclusion of all groups in society. However, inequalities have traditionally existed within sport, particularly in relation to gender, race and disability. Hadleigh Hares is committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them.
Signature of Applicant*
Date
DayMonthYear
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