www.nordicracers.org.uk
Nordic Racers Membership Form Personal Details Name Address
Male/Female
Email address Tel number Date of birth Occupation Nordic Walking How long have you been Nordic Walking? How did you hear about Nordic Racers? What types of races/challenges are you interested in? What range of distances? Are you already a member of a running club affiliated to UKAthletics? Payment of £10 membership fee To join Nordic Racers complete this form and either: 1.
Email it to the secretary alison.simpson@nottinghamcity.gov.uk and make a bank transfer of £10 to Lloyds Bank, a/c 31013168, s/c 30-65-85. Please make a note of your transaction number/code on the application form. Or,
2. Post the form, with a cheque for £10 made payable to Nordic Racers Club, to: Alison Simpson, 3 Norman Street, Ilkeston, Derbyshire DE7 8JZ.
I hereby apply to be a member of Nordic Racers and accept that I take part in Nordic Walking activities at my own risk. I agree that photographs of me may be used in promotional material for the club Name (typed)
Date