Liss Runners Membership Form

When you become a member of, or renew your membership with Liss Runners, you can also choose to be registered as a member of England Athletics (you will have to register with England Athletics if you ever compete for the club in competition Under UKA Rules).

If choose to become an Affiliated member we will provide England Athletics with your personal data which they will use to enable access to an online portal for you (called MyAthletics). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, amongst other things, allows you to set and amend your privacy settings). If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact dataprotection@englandathletics.org.

Forename*

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Surname*

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Gender*

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Date of birth*

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Address*

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Telephone*

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Mobile*

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E-mail*

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The e-mail address is invalid

Tick if you want to opt out of being added to the club's WhatsApp group

Emergency contact name*

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Emergency contact number*

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Have you been a member previously?*

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I wish to join Liss Runners as an England Athletics affiliated member - £30 pa

I wish to join Liss Runners as an unaffiliated member or as a second claim member - £15 pa

By ticking this I confirmed my details are correct and hereby apply for membership of Liss Runners

By joining the club, you consent to join the club mailing list which is used to assist with the administration of the club. From time to time you may also be forwarded emails from other clubs promoting their races.*

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* Indicates required fields

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A warm welcome to Liss Runners. We are sure you'll get so much from joining our club. You'll improve as a runner and meet some great people. We look forward to seeing you soon. In the meantime, please also pay your membership fee. Thank you.

If you choose to join as an unaffiliated member and then decide to compete for the club, we will need to register you with England Athletics and we will inform you at the time.

Please provide payment by BACS using the details below:

Account name: Liss Runners
Sort code: 40-36-16
Account number: 41065246

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