Online Application Form

    Select Title (required)

    / /

    Membership Type (required)

    - If Kippax Harriers is your only club, then select 'First Claim'.
    - If you are a member of another running club and are subsequently joining Kippax Harriers then select 'Second Claim' and enter your 'First Claim' club below.
    - Social membership is for people who don't run with us, but do come to our social events.

    Payment Method (required)


    I certify that the above information is true and correct to the best of my knowledge.
    I understand that membership is voluntary and at my own risk.
    I agree to abide by the rules and constitution of the club.
    I agree to the information I have provided being stored on the club database, shared with other club members and for membership purposes.

    Privacy Notice


    By ticking this box, I confirm I have read and consent to the above Declaration and Privacy Notice

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    Once the Form is completed and sent, please complete payment via either;

    PayPal by clicking “Buy Now” button below. (You do not need a PayPal account, you can pay via PayPal using a credit or debit card).

    Use button above for First Claim Membership

    Use button above for Second Claim Membership