Long Eaton Running Club
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Which of the following best describes you:
Prefer Not to Say
Male
Female
Nonbinary
Transgender
DOB:
Which of the following best describes you:
First Claim : anyone who engages with LERC as a runner
Second Claim : anyone who engages as a runner but is signed with another club as their First Claim
Affliated : affliated to England Athletics (EA) giving eligibility to participate in league races & other EA benefits
Social : anyone who participates in LERC social activities only and does not run
Select an option
First claim unaffiliated
First claim affiliated *
Second claim
Social Member
REQUIRED - which is of these are we most likely to wear during our sport?
Select an option
beret
tutu
saddle
goggles
trainers
crash helmet
crown
ball gown
I declare that the details given above are true and correct.
Data Protection Act 1986: Membership details will be stored on a computer. Completion of this application form signifies your agreement to have your data so recorded. Any future changes should be notified immediately to the Membership Secretary.
* Affiliation to England Athletics: I acknowledge that my data is being passed to the Athletics Governing Bodies and will be processed in accordance with the privacy statement and that I will sign up to the Senior Athletics Code of Conduct.
By clicking the button below I declare that I have read and fully understand the LONG EATON RUNNING CLUB 86
Club rules
which I will abide by, I agree that no responsibility will be held by the Long Eaton Running Club 86 for my own personal health and well being
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We're always looking for new members, contact -membership@longeatonrunningclub.com
info@longeatonrunningclub.com
West Park Clubhouse,
West Park,
Long Eaton,
Derbyshire
NG10 4AA