Membership Forms – Widnes Running Club

Application Form

Type of Membership (See below)

with governing Title

Title

Full Name

First

Last

Date of Birth

Enter your DOB in the format dd/mm/yyyy

Address

Address Line 1

City

State / Province / Region

Postal Code

Mobile Phone Number

Enter using the format +44 7999 999999

Confirm Email

Medical Information

Do you have any medical conditions you think we should be aware of e.g. heart problem, asthma, diabetes or any allergies? (Any information will be treated in confidence)*

Next of Kin Name

First

Last

Next of Kin Mobile Phone Number

Enter using the format +44 7999 999999

DECLARATION

I confirm that I am an amateur according to EA rules

Participation in Club Training Sessions

I confirm that I understand my participation in training sessions organised by the qualified leaders of Widnes Running Club at organised club sessions is entirely at my own risk and I should consult my own doctor if suffering from any condition that might make running injurious to my health.

Club Code of Conduct

I confirm I have read and agree to abide by the Club's Code of Conduct

As part of your membership, we are required to register you with the national athletics governing body

I confirm that I understand my personal data will be shared with UK Athletics and the relevant Home Country Athletics Governing Body for membership registration and administration, and that it will be processed in accordance with their privacy statement

Digital Signature

Please Type Your Full Name and Date of Birth

Membership Types

£31 per year (2026/27)

For those who are not registered at any other running club
Full access to the exclusive members Facebook page
Free access to Tuesday and Thursday training sessions
Reduced fee for Wednesday training session at the running track
Opportunity to take part in the North West Cross Country League
Registered athlete on UKA with profiles on Run Britain and Power of 10
£2 reduction on UKA registered races

£6 per year (2026-27)

Membership open to anyone
Full access to the exclusive members
Facebook page
Free access to Tuesday and Thursday training sessions
Reduced fee for Wednesday training session at the running track

£6 per year (2026-27)

For those who are registered at another running club
Full access to the exclusive members
Facebook page
Free access to Tuesday and Thursday training sessions
Reduced fee for Wednesday training session at the running track