YMCA Marathon Club :: New Membership Application Form

New Members

Fill out the following Membership Application Form for the 2021-22 financial year.

TAX INVOICE - GST No. 10-864-506

PAYMENT DUE 1 APRIL 2021

2021/22 Membership Fee for Auckland YMCA Marathon Club - $78.26
GST - $11.74
Total Club Subscription - $90.00

Special Registration Offer

New Style Club Singlet (usually $60.00) - $55.00

New Style Club T-Shirt (usually $65.00) - $60.00

Club Jacket - $120.00

Unisex Size Guide
Body Measurements (cm)
Sizes	2XS	XS	S	M	L	XL	2XL
Chest	75-78	79-85	86-94	95-102	103-109	110-120	120-130

In Addition:

If you wish to be a Athletics NZ (ANZ) registered runner (optional)

2021/2022 MEMBERSHIP Fee for ANZ YMCA Amateur Athletic Club - Full - $91.00
- or Social - $61.00

Note, registration and payment for Athletics NZ Membership is now via the ANZ self-register portal https://memberdesq.onesporttechnology.com/3291

Click Here for benefits of Athletics NZ Membership

To ensure that our membership records are correct, please complete the following:

1) Title *
2) First Name *
3) Last Name *
4) Occupation *
6) Age
5) Date of Birth (DD/MM/YYYY) *
7) Gender *	Male Female
8) Residential Address (include Postcode) *
9) Postal Address (if different from above)
10) Home Phone
11) Work Phone
12) Mobile
13) Email
14) Are you a Runner, Walker or Both? *	Runner Walker Both
15) Main interests?	Marathon Half Marathon Road Running/Cross Country Social Running
16) Is this the first time you have joined an Athletics Club?	Yes No
17) Have you transferred from another club? *	Yes No
18) How did you find out about the Club *	Referred by existing member Have seen the club's pack runs 10K Series in the Domain YMCA pamphlet/promotional material Heard about the Club through fun runs, marathons, etc Annual Women’s Event or other runs organised by the club Other
19) If you selected 'referred by existing member' please enter member's name
20) If you selected 'other' for the above question, please specify
21) The Club relies on its members to support the running of the Club. Please indicate if you are willing to volunteer and assist in the running of any of the following Club activites (tick all that apply)	WhyWomenRun - Mother's Day 10K Summer Series - Thursday evenings during daylight savings Fundraising sub-committee Fundraising events - ad hoc throughout the year Other events that come up from time to time
22) Additionally, the Club is keen to explore new sponsorship opportunities, do you own or work for a business that may be interested in providing sponsorship for the Club or its events?	Yes Maybe No
PRIVACY ACT 1993 – The personal information provided in this form will be used by the Club for legitimate and reasonable Club related purposes only and in paying your membership fee you are taken to have consented to such use of your personal information. *	I do not want any image of me to appear on the website I give permission for my image to appear on this website
Fees: Auckland YMCA Marathon Club Subs - $90.00 *
Donation to assist the Club with administration costs
Purchase New Uniform Top
New Uniform Size
Total to Pay *
Payment Method *	Cash Direct Credit YMCA account 02-0280-0341212-04
I also wish to be a Athletics NZ registered runner (optional) 2021/22. The additional MEMBERSHIP Fee for ANZ YMCA Amateur Athletic Club is: *	Yes No
Note: Registration and payment is via the ANZ self-register portal. https://memberdesq.onesporttechnology.com/3291/org Please indicate if you are intending to join ANZ and participate in ANZ Events.
Signature (enter your name) *
Today's Date (DD/MM/YYYY) *

New Zealand's foremost marathon running and walking club

New Members

YMCA Club Bank Account for Direct Payments: 02-0280-0341212-04