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• First Name ^*
• Name ^*
• Birthdate
• Gender (M/F) ^*
  - please select -MF
• If you have a UK Athletics number (URN) from another club please enter club's name here
• How did you hear about us?

  We would like to hear from you how you got to know us, names of friends you know are a member, and a bit on your expectations from the club, how far you regularly run etc.
• Do you have any breathing difficulties or use an inhaler? If so, we recommend you discuss running with your GP before you start and also that you bring your inhaler with you while you are running. ^*
• Adress line 1 ^*
• Town ^*
• Postal Code ^*
• Phone
• Mobile
• Emergency contact ^*
• emergency phone no ^*
• Paid 2013
• First Training to Attend ^*
  already attended a training session 5th June some other time