Harrow A.C. Membership form

Please complete your contact details in the form below and click “submit” to send it to the membership secretary.

Your subject:

Your name:
First name(s)

Last name

Date of Birth Gender

Full Time Student?

Your address:
House number / Name

Road

Town

County

Country

PostCode

Contact details:
Phone1

Phone2

Relevant medical background and current medication - if none then state "none":

Emergency Contacts details:
Name:

Number:

Current or Previous Club a member of - if none then state "none"

Date of resignation from last club (if applicable):

Comments and events you are interested in?

I confirm that all the information provided above is complete and true, to the best of my knowledge.

Once you have submitted your completed application form via email to the membership secretary, an England Athletics registration profile will be created for you and a request for your Club subscription and EA fee (if applicable) will be sent to you.
Some of this information will also be shared with appropriate Club officers (coaches, team managers) to enter members for competitions as required. No information will be passed to any other party without the explicit consent of the athlete/parent.