Registration Form

Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	New Member Junior (9-16) Junior new members aged 9-16. Includes membership for one year and free club race vest. If you are unsure whether this is required then please e-mail. Optional England Athletics affiliation. Only available to new applicants between the ages of 9 and 16 inclusive.	£35.00
	New Member Senior (17-24) Senior new members aged 17-24. Includes membership for one year and free club race vest. If you are unsure whether this is required then please e-mail. Optional England Athletics affiliation. Only available to new applicants between the ages of 17 and 24 inclusive.	£35.00
	New Member Senior (25+) Senior new members aged 25+. Includes membership for one year and free club race vest. If you are unsure whether this is required then please e-mail. Optional England Athletics affiliation. Only available to new applicants aged 25 or over.	£46.00
	Returning/Lapsed Junior (9-16) This option if for members wishing to re-join the club who do not need race kit. If new race kit is required, please sign-up as a new member. Optional England Athletics affiliation. Only available to new applicants between the ages of 9 and 16 inclusive.	£22.00
	Returning/Lapsed Senior (17-24) This option if for members wishing to re-join the club who do not need race kit. If new race kit is required, please sign-up as a new member. Optional England Athletics affiliation. Only available to new applicants between the ages of 17 and 24 inclusive.	£22.00
	Returning/Lapsed Senior (25+) This option if for members wishing to re-join the club who do not need race kit. If new race kit is required, please sign-up as a new member. Optional England Athletics affiliation. Only available to new applicants aged 25 or over.	£44.00
	England Athletics Membership	£23.55

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://elyrunners.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://elyrunners.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Ely Runners, The Paradise Centre, Newnham St, Ely, CB7 4PQ

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by certain club administrators using the Sent Emails page.

To

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

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Title

Description

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has been added to family group:

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Requested Membership Subscriptions

One or more of the requested Membership applications require approval. You will be emailed if your request has been approved and, at that point, you will be able to view and accept or reject the membership offer and proceed with payment. will be emailed once the request has been approved and, at that point, they will be able to view and accept or reject the membership offer and proceed with payment.

Subscriptions have been automatically approved and have been added to your basket. Please now proceed there to make payment.

Pay for Subscriptions

Reference	Name	Category	Costs
			Joining Fee Cost /	View Manage

Group Subscriptions

- :

You have requested one or more group membership subscriptions. You should now use the register buttons below to add additional members into the available slots.

No.	Membership
	One of:

Next Steps

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