New or casual runner contact form

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If you would like to run with Littledown Harriers as a one-off or new runner, please complete this form so we have your contact details in case they are needed in an emergency. This information will only be used in case of emergency and will be kept for 6 months, after which time it will be deleted unless you have since become a full member of the club.

First name *

Last name *

Contact phone number *

Emergency contact name *

Emergency contact number *

Emergency contact relationship to you *

Any medical conditions our coaches should be aware of? *

Yes

If yes, please give details below;

If you know the date and session you are planning to join us on for the first time, please let us know here. (No problem if not, just leave it blank!)

By completing this form you declare that you are over 16 years of age and are medically fit to run and do so with Littledown Harriers entirely at your own risk. New runners are eligible to run with the club for 4 or 5 runs, after which membership fees will become due. Please tick below to confirm. *

I agree

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