2012 Membership Application Form (from 1st April 2012 - March 2013)

About you...

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Your last club...

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Club subscription...

(All prices subjected to an additional £1 online transaction fee.)

United Kingdom Athletics (UKA) Affiliation

Signing up for affiliation to the UKA enables you to pay the UKA discounted price when entering races on any UKA affiliated course. By signing up you give us permission to pass your personal data on to the UKA to allow them to register you. The committee strongly recommend that you affiliate to the UKA.

If you do not wish to sign up for UKA Affiliation please tick here to opt out and £5 will be deducted from the fees list above (where they are shown as including the UKA affiliation fee).

Running - Your Personal Health

Running and its associated training can be a demanding physical activity. You should therefore be in good health and have no medical or physical condition precluding strenuous exercise. If you are in any doubt you should first consult your doctor. Members have a duty to declare any condition, or change in personal health, that might put themselves, or others, at risk to a club coach.

If you have any chronic medical condition (e.g. asthma, diabetes, high blood pressure) please provide details below:

No health issues
Declaration: I am of Amateur status as defined by UKA and agree to abide by these rules and those of the club constitution. I understand the risks associated with running and declare that I have no medical condition precluding strenuous exercise.
Fairlands Valley Spartans is committed to respecting the privacy of its members and acts in accordance with the requirements of the UK's Data Protection Act of 1988.