Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date Start of current season Start of next season

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost

BSRC and Stortford Tri Section

	Category	Cost
	Adult (Full) Full Membership for Adults of Bishop’s Stortford Running Club and Stortford Tri Only available to people aged 18 or over.	£70.00
	Adult (Trial) Provides club membership for 14 days Only available to new applicants aged 18 or over.	£0.00
	Beginners Only available to new applicants aged 15 or over.	£70.00
	Junior Tri Only available to people between the ages of 8 and 17 inclusive.	£0.00
	Student Member For members aged 16-21 and still in full time education. Parent/guardian attendance required for 16 and 17 year olds attending adult sessions. Only available to people between the ages of 17 and 22 inclusive.	£20.00
	Second Claim Member For members who wish to only race with Bishop's Stortford at Cross Country and Midweek League and are already a member of another running club. Only available to people aged 18 or over.	£20.00
	Second Claim Member For members who wish to only race with Bishop's Stortford at Cross Country and Midweek League and are already a member of another running club. Only available to people aged 18 or over.	£20.00
	Junior Running Junior Running Club Membership Only available to new applicants between the ages of 8 and 17 inclusive.	£40.00

England Athletics Section

	Category	Requirements	Cost
	England Athletics Registration England Athletics affiliation provides several benefits which include a discount when entering EA registered events and entitlement to enter County/Regional/National Championships. Full details at www.englandathletics.org. BSRC members must be a member of EA to enter the Club ballot for Club places for the London Marathon. By registering you authorise the Club to disclose your name, address, DOB, email address and mobile phone number to England Athletics. Registration is for 1 Apr to 31 Mar. Only available to people aged 8 or over.	Adult (Full) Beginners Beginners Group 2023 Junior Running Junior Tri Life Membership Second Claim Member Student Member	£23.00

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Signature

Date

Please return completed forms to: Bishop's Stortford Running Club and Stortford Tri, Bishop’s Stortford Running Club, c/o Hockerill Sports & Social Club, Beldams Lane, Bishop’s Stortford, Hertfordshire, CM23 5LG

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