ECH Membership 2016/2017
Are you an existing or new member?

NB If you have been a member before, please do not renew as a new member, choose Existing member.



Thank you for joining (or rejoining) the club we hope you enjoy your running with us!

Please note that membership runs from April to March. If you are joining with only a few months left, there is NO pro-rata rate. However if you want to discuss your individual case please email the membership secretary Marc Doyle. Do not just underpay.

Please amend any incorrect details, and feel free to add any missing information to this form.

ECH Member No:
First Name:
Surname:
Password:
Gender:
Address:
Postcode:
Telephone Home:
Telephone Mobile:
Email:
Is it OK for the club to contact you very occasionally by email? (this will ONLY ever be on club business)
Date of Birth :
Type of Membership:





If you have an existing England Athletics number, please record here:
Do you consider yourself to have a disability?
Disability:





Are you a new member:
Have you participated in athletics before:
Where have you played the sport?





Medical Information: - Please detail any important medical information that our coaches should be aware of (e.g. epilepsy, asthma, diabetes etc)
Please insert the information below to the person who should be contacted in case of an incident/accident:
Emergency contact name:
Emergency contact number:
* You must agree to consent
I consent to the membership details as given above to be held on a computer database for ECH only:
 



Please type in your first name, last name and password and click on submit and we will search for your details.

NB - If you've not logged in before, you will have to set a password by email, by clicking on the link below.

First Name:

Last Name:  

Password:    

Date of Birth :

If you have NEVER had a password, or just forgotten an old one, click here to set your password.

You can also change your password once you have logged in. If you are still having problems logging in, please email membership secretary Marc Doyle.


Please select your name from the following list of possible hits



If you think you mistyped something, and need to go back and try again, click here.

If your name doesn't appear, please check your membership number is correct. Any problems please email chrisullman@btinternet.com
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