Membership application
Organisation: Riverside Running Club
Membership type: Membership type
Date of application: 3 February 2027
Applicant
Full name: Amira Hassan
Date of birth: 14 June 1992
Address:
12 Mill Lane
Riverton RT1 4AB
Email: amira@example.com
Phone: +44 20 7946 0000
Emergency contact: Sara Hassan, sister, +44 20 7946 0001
Introduced by: Daniel Okafor, member since 2022
Why you want to join
I started running last year and want to train with a group.
Fee
Membership fee: GBP 60 a year
Agreement
I ask to become a member of Riverside Running Club. I have read the rules (www.riversiderunning.example/rules) and agree to follow them. What I have written here is true.
I understand that Riverside Running Club will use my details only to run my membership and to contact me about it, and will not share them without a lawful reason or my agreement.
Signature of applicant: ______________________ Date: ______________
For the organisation
Decision (accepted, refused, waiting list): ______________________
Membership number: ______________ Start date: ______________
Decided by: ______________________ Date: ______________