2017 Membership

9 March, 2016
Title:
Forename:
Surname:
Address Line1:
Address Line2:
City:
County:
Postcode:

Sex: MaleFemale
Please select the vest size you Require:
Date of Birth:
type date in format 31/12/2014
Email Address:
Mobile:
Home Phone:
Athletics Ni No (if Known):
Next of Kin / Emergency Contact:
Next Kin Phone No:
What is your personal Best Time for
5K
10K
Half Marathon
Marathon
What is your Best Time during last 12 months for
5K
10K
Half Marathon
Marathon
Newry City Runners use an email newsletter to update members on matters that are important to the club, this includes race details, notice of meetings, and other information. Please confirm that you wish to recieve these emails.
YesNo
The club sponsors would like to send you occasional offers / discounts on their events and Specials in their shop exclusive to Members of Newry City Runners. Please confirm that you wish to receive these emails.
YesNo