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    If you have any queries please contact stridersofcroydon@gmail.com

    Once we have verified your entry is complete and you have paid your subscription  we will add you to our membership list and to our email circulation list -Striderslist.

    First claim members will be registered with UKA Athletics (which entitles you to discounts on most race entries and 10% discount at most running shops).

    Once processed your details are kept on the UKA secure data base and are not held on line by Striders.


    Family  Membership - Lead Member

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

    Contact Details:

    Phone No *
    E-mail: *

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

    1st Claim:
    Partner
    P_Title:
    P_First Name:
    P_Last Name:
    P_DOB:
     /  / 
    P_Phone No:
    P_E-mail:

    Children (under 18)

    1_First Name:
    1_Last Name:
    1_Gender:
    1_DOB:
     /  / 
    2_First Name:
    2_Last Name:
    2_Gender:
    2_DOB:
     /  / 
    3_First Name:
    3_Last Name:
    3_Gender:
    3_DOB:
     /  / 

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