Membership Application Form

Do you enjoy running with others?
Do you enjoy running in race events?
Do you want to start running but not sure where to begin?
Do you want to build confidence in your running – maybe distance and/or pace?
Do you want to run to build your fitness and for other health benefits?

If the answer is ‘yes’ to some or all of the above then Handsworth Roadhogs can offer membership opportunities to run both competitively and non-competitively.

We welcome and support people who are new to running and those who want to progress their running or improve their health, fitness and well-being through being a member of a friendly Running Club.

Membership is available at different levels as follows:

*First Claim – Competitive Membership (Over 18)	£ 30.00	Includes England Athletics affiliation to gain reduced race entry fees and other benefits
Non-Competitive or Second Claim Membership**	£ 15.00	Can still enter races but pay full entry fees as an unaffiliated athlete
Non EA Membership	£ 15.00	Does not include England Athletics affiliation to gain reduced race entry fees and other benefits
Associate Member (non-running)	£ 5.00

*First claim means this will be your main or only running/athletics club membership.

**Second claim means you are already a member of another club.

Please complete the form below and make payment by cash / cheque / bank transfer. Alternatively, download a pdfApplication Form (PDF), or come along to one of our club runs and ask any member about how to join.

Handsworth Roadhogs

Personal Details

Full Name*

Date of Birth*

Gender

Address

Postcode

Email address*

Home phone

Mobile phone

*If applicant is under 18 please provide telephone contact of Parent/Guardian.

Membership of Other Running Clubs

Are you a member of another running club*

If Yes Which One

First or Second Claim*

Date of Resignation from Previous Club

Membership Information

Please select which category you are applying for*

All members

I confirm that I am eligible to compete under UK Athletics Rules. (Please tick box)

I confirm that my personal data as recorded above will be held on record by the club. (Please tick box)

I confirm that as a club member I agree to the club's Constitution (Please tick box)

I confirm that as a club member I agree to the club's code Health & Safety Policy (Please tick box)

I confirm that as a club member I agree to the club's Inclusion Policy (Please tick box)

I confirm that as a club member I agree to the club's Privacy Policy (Please tick box)

I confirm that my personal data as recorded above will be passed onto England Athletics. (Please tick box)

Contact details sharing (e.g. for organising Club Runs)*

I wish my email address and mobile phone number to be shared with Handsworth Roadhogs members

I do not wish my email address and mobile phone number to be shared with Handsworth Roadhogs members

Signed*

Date

Amount Paid

Payment method

For Bank Transfer please use your name as reference and pay to: Sort Code 30-96-26, Account 73178168, Account Name: Handsworth Roadhogs