membership form | Holme Pierrepont RC

Membership Application Form

Thanks for your interest in joining our club.

Please fill in the details below.

If you are joining as first claim and are currently or have previously been a first claim member of another club but not yet been resigned, please request a change of club. This needs to be done before your application to join HPRC can be processed.

For any enquiries about completing this form, please contact membership@hprcrun.co.uk

Title

First name

Last name

Phone

Date of Birth

Sex registered at birth

Male

Female

Address - please include your postcode.

If you are a member of another club and you are joining as a second claim member, enter the name of your first claim club

Do you have a disability

Yes

If you answered 'Yes' to the previous question, please provide more information and advise if HPRC needs to take any special measures or provide any additional support to you

Membership rules I have read, understood, and accepted HPRC's club policies.

England Athletics

I would like HPRC to register me as a member of England Athletics Limited. I am aware that my data is being passed to the Athletics Governing Bodies and will be processed in accordance with its privacy statement

How did you hear about us?

Friends

Social Media

Other