Membership Forms - Widnes Running Club

Widnes Running Club Application/Renewal Form

Widnes Running Club’s Annual Membership is valid from 1st April to 31st March. Upon completing and submitting this form, payment by cheque or cash should be handed to a committee member. Alternatively payment can be made by bank transfer to the club account (Details available on request).

Type of Membership (See below)

Title

Full Name *

First

Middle

Last

Date of Birth *

Enter your DOB in the format dd/mm/yyyy - for example 01/10/2000 for 1st October 2000

Address *

Full Address including Post Code

Main Contact Number *

Alternative Contact Number

Email *

Confirm Email

Second Claim Memberships

If Widnes running Club will not be your First Claim Club, please list the Club(s) that have prior claim*

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 Contact Number *

DECLARATION: I declare that I am an amateur according to EA rules *

Disclaimer *

I confirm that I understand that 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.

Media Consent *

Do you agree to Widnes Running Club publishing photographs or running achievements that may include me or my name on social media.

Club Code of Conduct *

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

Digital Signature *

Please Type Your Full Name and Date of Birth

Membership Types

First Claim – £27 per year (2024-25)

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

Social – £6 per year (2024-25)

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

Second Claim – £6 per year (2024-25)

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

Widnes Running Club Application/Renewal Form

Membership Types

Offline Forms