Individual Membership

Please fill out the form below to apply for your individual membership.

Once you have completed the form you will be taken to a page where you can complete the payment.                       

Name *
Please enter in DD/MM/YYYY format
Gender *
Membership Status *
Name of emergency contact
Relationship of emergency contact eg mother, partner etc
Contact number of emergency contact
Have you any medical conditions which would affect training or competition? If so, please list them here (including any injuries and illnesses which you may have).
Do we have your permission to carry out an Access NI check? *
Have you ever been refused membership of another club? *
Have you ever had membership of another club terminated? *
Method of Payment *
Please enter how you will pay for membership
I wish to apply for membership of Springwell Running Club as a competing member and agree to abide by the Constitution of the Club and Athletes Code of Conduct which can be found on the Springwell Running Club website on the About us tab. I agree to abide by it at all times and agree to be registered with Athletics Northern Ireland. *