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Jesmond Joggers Membership Application (revised December 2022)
Please complete this form if you would like to join Jesmond Joggers Running Club.
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* Indicates required question
Title
*
Choose
Mr
Mrs
Miss
Ms
Dr
Prof
Other
First name
*
Your answer
Surname / Family name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Email address
*
Your answer
House number (or name)
*
Your answer
Street name
*
Your answer
City / Town / District
*
Your answer
Postcode
*
Your answer
Mobile phone number
*
Your answer
Are you currently a full-time student?
*
Choose
Yes
No
Please consent to data processing
*
I consent to my personal data being processed by Jesmond Joggers and England Athletics. If you have any questions about the continuing privacy of your data when it is shared with England Athletics, please contact
dataprotection@englandathletics.org
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