Herne Hill Harriers Membership Form
If you have any queries before filling this form out, please contact Stan Allen on stan@allen1889.freeserve.co.uk
Surname:
First Name(s):
Title:
DOB
Birthplace
Address Line 1
Address Line 2
Town
County
Postcode
Telephone Numbers: 
Home
Mobile
If You were not born in the UK do you hold,
or are you entitled to hold a UK passport?		 Yes:    No:    N/A:
If no, have you registered with UK Athletics as a foreign athlete? Yes:    No:    N/A:
Are you currently a member of another UK Club? Yes:    No:
  
Have you ever been a member of another Club? Yes:    No:
If yes, which club?
Date of joining
Date of resignation
Were/are you first claim for this clubYes:    No:
  
Do you wish to join HHH as first or second claim: First: Second:
How did you find out about HHH?
In which events are you interested?
Best performances:
Size of vest