For individual membership please complete and submit the membership form below, you will return to the previous page to complete payment.

If you have any problems please contact

Individual Membership

Title: *
First Name: *
Last Name: *
DOB: *
 /  / 
Line 1: *
Line 2:
Town/City: *
Post Code: *

Contact Details:

Phone No *
E-mail: *

If applying for second claim membership the name of your first claim club.

1st Claim:

Disclaimer: I am applying to join Striders of Croydon Running Club and am medically fit to attend all activities organised by the Club. I shall not hold Striders of Croydon Running Club responsible for any injury or illness incurred during or as a result of running, training, competing with the Club or joining in any other activity as organised by the Club from time to time. I am 18 years old or older.

Agree *