Online Membership Application Form
After submitting the form, you
will be taken to the payment page and may pay by credit card or debit card
I apply to join ELY RUNNERS - Please
select "1st Claim" or, if you wish to
retain main membership with another athletic club select "2nd Claim"
Date of Birth (dd/mm/yyyy)
Parent/ Guardian contact info:
If different from any of the above.
Further Runner Info (optional):
Any relevant medical conditions you
feel we should know about?
Unless notified to the contrary within 28 days,
this application is deemed accepted by the Committee.
Membership will be valid after confirmation of payment has been
Membership enquiries to Richard Hill
To confirm you
have checked all the above details and that they are correct.
Select below "Yes I confirm the details are
Yes, I confirm the details are correct
(Use the "Submit"
button below to send your form)