Current Level of Running:
Membership Type (annual membership runs April-March)
I have paid the appropriate amount to: NatWest | NetleyAbbeyRunners | 60-20-03 | 34660046 (Please use your names as the reference and make one payment for each member) -
Declaration I confirm that I am able to compete under UK Athletics Rules. I agree to the disclosure of my personal data for the club's administrative procedures and for my details to be registered with Run England (England Athletics) as a new club runner. I wish to become a member of Netley Abbey Runners, and hereby agree to abide by the Code of Conduct & Constitution A copy of the UK Athletic Rules, Code of Conduct and Constitution can be found on our Policies and Procedures Page I confirm that I am aware that photos and videos taken at official club events may be used on the website and NAR social media accounts (e.g. Facebook and Twitter) – Please email the Club Secretary if there is an issue with this.
Medical Questionaire
If you have answered yes to any of the above questions, please consult your doctor prior to returning your application form All medical information disclosed on this form will be used in the strictest of confidence by our Run Leaders to ensure that risk assessments can be taken to help prevent accidents and incidents during a run and to help facilitate care if a medical emergency arises. Details of the Run Leaders can be found on the website. It is important to advise the Club Secretary, Vicki Brunink secretary@netleyabbeyrunners.com, if there are further potential issues so that this information can be conveyed to the Run Leaders prior to the scheduled runs. Ethnic Origin
Digital Signature