Bridlington Road Runners - Season 2025-26 Membership - Families

Personal Information

* Title

* First Name

* Last Name

* House Number/Name

* Street Name

Address 1

* City

* Area

* Post Code

* Country

* Gender

* Date of Birth

* Telephone Number

* Email

* Confirm Email

* Club (Please enter N/A if you are not a member of a club)

Parental/Guardian Consent

It appears that the age submitted has shown that you are under 18 years of age.

This form must be completed by a parent/guardian of the athlete taking part. Please state the name of the person filling in this form and your relationship to the named athlete.

*Please Enter Parent/Guardian Name

*What Is Your Relationship To The Athlete?

I am giving permission for the athlete entered on this form to participate in this event.

Questions

* Name of Emergency Contact and relationship to you

* Emergency Contact Tel. No.

* Four Questions for New Members: Do you belong to another UKA Club - Yes/No

If Yes - Name of Club

Have you Previously belonged to another UKA club? if so enter name of Previous Club

Date of Resignation from previous club.

* Type of membership

Terms and Conditions

I agree with the terms and conditions .

Important Membership Information

To manage this Membership effectively we will need to send you important information by email. We will be providing information that we really need you to see. We will only send you information regarding the Membership itself and will not use your email address for any other purpose.