Lytchett Manor Striders

Online Membership Form

Club membership runs annually from March 1st at a cost of £30.00 for a single adult member. This is inclusive of an England Athletics Competing Licence which runs annually from April 1st.

Note: All members must be 16 or over
I am over 16 and I apply for membership of Lytchett Manor Striders for the year ending 28th February 2019.

Please complete your details here and make the correct payment using the details provided (also visible after you click submit)

Name:   D.O.B.:


Tel No:   Mobile:


Postcode:   Nationality:

First Claim Club (if other than LMS):


Emergency Contact Name:

Emergency Contact Number: :

Emergency Contact Relationship: :



Club Kit:

Race Vests @ £16.00 each
Size: Quantity:

Training T-Shirts @ £11.00 each
Size: Quantity:

Hoodies (Zipped/Non Zipped) (S, M, L, XL) @ £20.00 each
Size: Size: Quantity:

The club may also like to compile a list of members’ contact details for members’ use on a secure part of the website.

Leave this empty:

Payment can be made via Cash, Cheque or via Online Banking.
Sort Code: 20-68-79 Account Number: 13921417
Please ensure you include your name within the payment reference

Cheques payable to Lytchett Manor Striders

Please Note: EA Fees cover 3rd party insurance for events. Runners who have a valid EA licence are entitled to discounted entry into E.A. affiliated races (currently £2). Runners who have a valid E.A. licence will also be entitled to enter the draw for the club ballot place for the London Marathon. Non E.A. affiliated runners will not be entitled to enter the draw. It is also a requirement, in races run under E.A. rules, that athletes wear official race kit to qualify for team positions. Furthermore, the club encourages members to race in club kit wherever possible. Please complete this form in full and return with the appropriate fees to Lee Dempster or any other member of the committee. Renewals are due by March 1st. Neither membership nor EA fees will be waived at any time for ordinary members.

This information held on the Club database will only be used for the operation of the Club and will not be improperly disclosed or used for any commercial purpose. As part of England Athletics, Lytchett Manor Striders are obliged to pass on relevant details to England Athletics who hold this information on a secure site as part of the individual registration scheme.