Membership Application Form

Kimberley and District Striders Application for Membership

Please complete the below application form and click submit. By clicking submit you understand and agree with the declaration and privacy statements below. If you are under 18 years of age, we need the signature of your parent or guardian, so please download a paper application form from our club official documents page.

Once you have submitted your application, please send your subs payment and any additional payments (EA membership, kit purchases) to our club bank account : 00801432 sort code : 30-97-55.

If you have any questions about membership, please email secretary.kads@gmail.com

* Indicates required field

First Names *

Surname *

Date of Birth *

Gender *

Phone Number *

Address *

Postcode *

Email *

Club Membership

Membership Options (please choose one) *

First Year £10 (£5 if joining 1 Jan - 31 Mar) Student / Unwaged £5 Family £30 (must live in same household)

Would you like EA Membership at £16 per person *

Are you a member of another affiliated running club? *

If Yes, please state the name of the club *

Will KADS be your First or Second claim? *

Do you have any medical conditions the club should be aware of? *

If Yes, please provide more details. *

Emergency Contact Details

Name *

Relationship to you *

Contact Number *

KADS Club Kit

Please indicate below if you would like to purchase a KADS club T-shirt or Vest.
For photos of the kit and contact details of our Kit Manager, please see our KADS Kit Page.

Your first club T-shirt or Vest is discounted to £18. Additional T-shirts or Vests and re-orders are £20.

Your Club Kit Requirements *

Unisex Club T-Shirt Men's Vest Ladies Vest

Unisex Club Tshirt and Men's Vest Size *

Ladies Vest *

Communications

Would you like to receive KADS club emails? *

Would you like to added to the KADS Facebook members only group? *

Declaration and Privacy Statement

By submitting your application form, you agree to the following.

Declaration:
I wish to apply for membership to Kimberley and District Striders Running Club. I am an amateur as defined by UK Athletics. I am medically fit and the club or club committee will in no way be held responsible for any loss, injury or illness incurred to my person.

Privacy Statement:
I agree for my data to be shared amongst the KADS committee and, if applicable, England Athletics. I understand that to be able to take part in league races KADS will need to share your name and date of birth with Booths Decorators League and The Notts Amateur Athletics Association. Our full privacy notice can be found on our club official documents page.

Please tick to confirm monies you will be including in your payment to the KADS club bank account. *

Membership Fee EA Membership T-shirt or Vest

Submit