Mickleover Running Club : New to the Club Pre-registration Form

Mickleover Running Club

PRE CLUB RUN REGISTRATION

Coming to a club run for the first time? Fill out this little form so you dont need to on night.

First name

Last name

E-mail

Phone

Emergency contact first name

Emergency contact last name

Emergency contact phone number

Any medical issues we might want to know about?

Click below for our online membership form and join our friendly local running club