Please complete your details in the form below and insert any additional names as required. After submitting you will then be redirected to PayPal.
(You do not need to set-up a PayPal account for this.)

  1. Membership Application and Renewal Form (This form will be submitted to the Club Secretary to process)

    Memberships are renewable annually and due on 1st April each year. If fees have not been paid by 1st July then a £10 rejoining fee will also apply. New members joining between the 1st January and 31st March will get membership until the following 31st March.
    Please ensure you are using the latest browser as form may not function correctly, particularly with older versions of Internet Explorer.
  2. First Name*
    Please enter your first name.
  3. Surname*
    Please enter your surname.
  4. Gender*
    Please enter your gender.
  5. Date of Birth*
    Please enter your date of birth.
    Please enter as dd/mm/yyyy
  6. Address*
    Please enter 1st line of address.
  7. Address 2*
    Please enter 2nd line of address.
  8. Address 3
    Invalid Input
  9. City*
    Please enter town/city.
  10. County*
    Please enter county.
  11. Postcode*
    Please enter postcode.
  12. Tel: Home/Mob*
    Please enter your telephone number.
  13. Tel: Home/Mob
    Invalid Input
  14. Email Address*
    Invalid email address.
  15. Emergency Contact Name*
    Please enter emergency contact name.
  16. Emergency Contact Number*
    Please enter emergency contact number.
  17. Please insert additional names below as required
  18. Full Name
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  19. Gender
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  20. Date of Birth
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    Please enter as dd/mm/yyyy
  21. Email Address
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  22. Emergency Contact Name
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  23. Emergency Contact Number
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  24. Full Name
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  25. Gender
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  26. Date of Birth
    Invalid Input
    Please enter as dd/mm/yyyy
  27. Email Address
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  28. Emergency Contact Name
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  29. Emergency Contact Number
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  30. Full Name
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  31. Gender
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  32. Date of Birth
    Invalid Input
    Please enter as dd/mm/yyyy
  33. Email Address
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  34. Emergency Contact Name
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  35. Emergency Contact Number
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  36. Please select Membership Type below
    Individual membership under 21 - £10
    Individual membership - £16
    Couple membership - £22
    Family membership - £28

  37. Membership Type*
    Please select membership required.
    Please select membership required
  38. UKA Registration
    If you are planning to compete in events, you will be required to have UKA registration which is £14 extra per person.
    For Family UKA Registrations please select correct amount below
  39. UKA Registration
    Please select £15 for Individual or correct amount for number of members in family (eg 2 family members £30)
  40. Total
    0.00 GBP
  41. Names of family members for UKA Registration
    Invalid Input
    Please enter the family names for UKA Registration
  42. Personal Best Times since last year
    Multiple names/times can be entered
    i.e. Best 5k Time Jack 25 mins, Jill 24 mins 30s
  43. Best parkrun Time
    Invalid Input
  44. Best 5k Time
    Invalid Input
  45. Best 10k Time
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  46. Best 5 Mile Time
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  47. Best 10 Mile Time
    Invalid Input
  48. Best Half Marathon Time
    Invalid Input
  49. Best Marathon Time
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  50. If member of another UKA club, insert name
    Invalid Input
  51. Is other club first claim?
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  52. Thanks for joining/rejoining Stubbington Green Runners. We look forward to seeing you soon!
  53. CAPTCHA*
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    Please enter text into box below as shown. If the Captcha text is difficult to read, click Refresh
    until text is clear enough to read, then click Submit.