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Penarth and Dinas Runners - 2022-23 Trial Member Application Form
Please complete this form to register your interest in attending Penarth and Dinas Runners' club sessions on a trial member basis.
Note: By signing up via this form, you're agreeing to comply with the club's session safety rules (
https://penarthanddinasrunners.co.uk/club-training-information
).
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* Indicates required question
Email
*
Your email
Your name
*
First name and surname, please.
Your answer
Your mobile phone number
*
Your answer
Your emergency contact's name
*
First name and surname, please.
Your answer
Your emergency contact's mobile phone number
*
Your answer
Trial Session Date - 1
Please note the date of the first session you would like to attend.
(Note: You can edit your form after submitting it to change the date or amend it)
MM
/
DD
/
YYYY
Trial Session Date - 2
Please note the date of the second session you would like to attend.
(Note: You can edit your form after submitting it to change the date or amend it)
MM
/
DD
/
YYYY
Any additional information you'd like to provide?
Your answer
A copy of your responses will be emailed to the address you provided.
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