Membership renewal

If you would like to join us, or renew an existing membership subscription, please complete the form below.

NB. There is an additional £1.00 administration fee for online membership, to cover the costs the club incurs for the online payment facility. Alternatively you can download and print our membership form, and return it to us with a cheque.

Your email address:
Confirm email address:
First name:
Last name:
Date of birth:
Contact details
Address:
Town:
Postcode:
Telephone - home:
Telephone - work:
Telephone - mobile:
Membership
Previous Club:	(if transferring to Fairlands Valley Spartans)
Date of resignation:
Membership required:	Classes of membership as defined by the Club Constitution that can be read here. Pro Rata Subscription rates apply for the remainder of the subscription year. (1) Full Membership (1st claim, includes UKA Affiliation) - £15.00 (2) Full Membership (2nd claim, does NOT include UKA Affiliation) - £7.50 (3) Full time Student/OAP/Unemployed (includes UKA Affiliation) - £10.00 (4) Junior member (includes UKA Affiliation) - £7.50 (5) Life member (includes UKA Affiliation - £5.00 (6) Social member (free) (1) Full Membership, 1st claim(2) Full Membership, 2nd claim(3) Full time Student/OAP/Unemployed(4) Junior member(5) Life member(6) Social member
£5 UKA Affiliation fee	In addition to the Club Membership fees, you are also requested to sign up for UKA Affiliation if you wish to race on any UKA Affilated course. Signing up will enable you to pay the UKA discounted price when entering races. By signing up you give us permission to pass your personal data on to the UKA to allow them to register you. The Data they receive will be stored on a database managed on behalf of England Athletics by Athletics Services. Personal contact information will be used to send a competition licence / member card and seek appropriate data clearances. The committee strongly recommend that you affiliate to UKA. 2nd claim members can pay the affiliation fee if they haven't affiliated with their first claim club. Please tick the box for the fee to be added.
Total to pay:	£ (includes £1.00 online administration fee)
Running - Your Personal Health Running and its associated training can be a demanding physical activity. You should therefore be in good health and have no dedical or physical condition precluding strenuous exercise. If you are in any doubt, you should first consult your doctor. Members have a duty to declare any condition or change in personal health that might put themselves or others at risk to a club coach. If you have any chronic medical condition (e.g. asthma, diabetes, high blood pressure) please provide details below:
Chronic medical condition:
UKA Affiliation (only required for UKA Affiliation) If you have requested UKA Affiliation above, please complete the following details:
Other names / Known as:
Gender:	Male Female
Ethnicity:	White: English/Scottish/Welsh/Irish/Other Mixed: White & Black Caribbean/White & Black African/White &Asian/ Other Black: Carribean / African / Other Chinese Other - please specify Other: Prefer not to state:
Club status:	N/A First Claim Second Claim Higher Competition Foreign Athelete
I am of amateur status as defined by UKA and agree to abide by these rules and those of the club constitution.

Fairlands Valley Spartans is committed to respecting the privacy of its members and acts in accordance with the requirements of the UK’s Data Protection Act of 1988.