RACE WALKING ASSOCIATION


REQUEST FOR INFORMATION ON FORMING A CLUB

Title and Name

Address including Post Code

 Telephone Number
 Fax Number
E-mail Address


In which town would your Club be based?


How many potential members have you?


What would your Club be called?


Have any of your potential members done any of the following?
 Running  Race Walking  Power Walking  Speed Walking


ANY ADDITIONAL INFORMATION YOU MAY WISH TO GIVE


To clear the Form and start again: To send the Form: To abandon the Form, return to INTERESTED IN WALKING?