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Almost Athletes Membership Form

Title*
First Name*
Last Name*
Date of Birth*
     
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Postcode*
Address*
Home Telephone Number
Mobile Telephone Number
Work telephone number
Email address*
England Athletics No. (if known)
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Relevant Medical Conditions:
Emergency Contact (Name):
Emergency Contact (Phone number):
Relationship to you
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DECLARATION: I understand that running can be a strenuous activity, and that I should not participate unless I am physically able to do so. I accept all risks associated with running, including, but not limited to: the effects of weather, traffic, road or terrain conditions. I hereby waive and release the Almost Athletes Running Club from all claims and liabilities of any kind arising from my participation within the club.
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