Membership Registration Form

Personal

Contact

Emergency

Participation

Agreement

Payment

Personal Details

Please provide your personal details below. For Junior athletes please provide the athlete's details:

First Name *

Last Name *

Date of Birth *

Gender *

In accordance with UK Athletics policy this should be the registered sex at birth.

Prefered Pronouns

A word that substitutes for your name. So, we know what to call you. For example, he/him, she/her, they/them.

Junior Athlete?

Is the athlete under 18 years of age?

YesNo

Parent/carer First Name *

Parent/Carer Last Name *

In Full Time Education or Training?

YesNo

Educational Institution or Training Provider *