Washington Running Club membership 2019/20 Membership Form 2020/21 Washington Running Club 12 month membership form 2020/21. Expires 31st March 2021. Name* First Last Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code PhoneEmail* DOB* Date Format: DD slash MM slash YYYY Date of BirthEmergency Contact* First Last Emergency Contact Number*What would you like to gain from Washington Running Club?* Fitness Lose weight To volunteer To improve Meet new runners Other If you selected other, please explain:Do you do any other form of exercise?*YesNoIf you selected yes, please tell us about it:Have you done any running before?*YesNoDo you have any medical or health conditions we should be aware of? Do you require medication for any of these?*Are you a recognised first aider?*YesNoIf you are, would you act as a first aider for the club?YesNoEngland Athletics*Yes pleaseNo thanksIf you intend to race as part of Washington Running Club you need to be affiliated with England Athletics. This entitles you to reduced entry fees on UKA races and some early race entries(the Blaydon Race for example). The cost for this is £16 a year or part year, and will run until 31st March 2021. If you are not registered with England Athletics you will not be able to benefit from the reduced entry fees for club runners when entering a race.Club Membership* Price: £ 28.00 Total £ 0.00 Credit Card Card Details Cardholder Name CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.