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KuHAC Membership Application Form
This form is also to be used for members who wish to renew their membership for 2024
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* Indicates required question
Athlete First Name
*
Your answer
Athlete Surname
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Post Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Country of Birth
*
Your answer
England Athletics Registration Number - Type None if you do not have one
*
Your answer
Who are your coaches
*
Your answer
2024 Membership Fees
Indicate your Membership Group - Senior Second Claim Members pay Full Fee.
*
Senior Age Group - £20 + £21 = £41
Under 13 to 20 Age Groups - £15+£21= £36
Under 11 Age Group - £10 = £10
Associate Member £5
Second Claim Member - Applies to Under 20 age groups only £15
Please indicate which section of the club you would like to join
*
Track and Field
Road Running
Is the membership application for a person OVER 18 Years of Age
*
Yes
No
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