Join LPS | Liverpool Pembroke & Sefton Harriers & Athletics Club

Liverpool Pembroke & Sefton Harriers & Athletics Club Local & National Athletics in UK

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For more information about joining LPS read our welcome pack here. To register your interest, please complete the form below.

Registration of interest form

Thank you for your interest. Please complete & submit this form then we will contact you to invite you to training sessions prior to officially becoming a member of the club.

"*" indicates required fields

Registration

Who are you registering for?

Myself

A child

Name

Please tell us the athlete’s name

Athletes first name Athletes surname

Your name

Please tell us your name

Relationship

What is your relationship to the child?

Parent

Grandparent

Guardian

Brother / Sister

Other

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Birthcounty*

Please state which county the athlete was born in (required for regional competition)

Birthcounty

Please state which county the athlete was born in

Email

Phone

Date of Birth*

Please tell us the athlete’s date of birth

DD slash MM slash YYYY

Other Clubs?*

Yes

No

Are you currently or have you been registered with another club?

Club

Which club are you registered with?

Competition*

Have you ever competed in athletics before?

Yes

No

Events*

What is your preferred discipline?

Track events (Running, Hurdles)

Field events (Jump, throw)

Cross Country & Road Running

Mixture

Emergency*

Please tell us the name of someone we should contact in an emergency

First Last

Phone*

Please provide emergency contact details

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

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