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Wimborne Athletic Club

Wimborne Athletic Club

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Membership Form – Junior

    SECTION A: ATHLETE DETAILS
    Date of Birth
    Are you a member, or have you been a member, of any other Athletic Club within the last three years?
    If Yes, which club?

    Are you applying for 1st or 2nd Claim Membership?
    SECTION B: PARENT CARER DETAILS
    If you are under 18 years of age, please ask your parent/carer to complete the following section.

    SECTION C: MEDICAL INFORMATION
    Please detail below any important medical information that our coaches/junior coordinator should be aware of (e.g. epilepsy, asthma, diabetes, allergies, etc.) Please do not leave blank – if there is no information please write ‘None’.
    I consent to my personal data provided in section C to be shared with coaches for the purposes of the delivery of my safe participation in club activity. This data will not be shared or processed for any other purpose.
    SECTION D: EMERGENCY CONTACT DETAILS
    Please insert the information below to indicate the persons who should be contacted in event of an incident/accident.

    SECTION E: PHOTOGRAPHY & VIDEO CONSENT (THOSE AGED 18 OR UNDER)
    Wimborne Athletic Club recognises the need to ensure the welfare and safety of all young people in athletics.

    In accordance with the UK Athletics child protection policy and procedures, we will not permit photographs, video or other images of children/young people to be taken without the consent of the parents/carers and children/young people.

    The Club will take all possible steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform the Club Welfare Officer immediately.
    SECTION F: SECTION F: CLUB PRIVACY STATEMENT & COMMUNICATION PREFERENCES
    Wimborne Athletic Club take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation.

    Please read the full privacy notice carefully to see how The Club will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.
    SECTION G: DATA SHARING WITH ENGLAND ATHLETICS
    When you become a member of or renew your membership with Wimborne Athletic Club you will automatically be registered as a member of England Athletics. We will provide England Athletics with your personal data which they will use to enable access to an online portal for you (called myAthletics). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, amongst other things, allows you to set and amend your privacy settings). It is vital, therefore, that a valid email address is given, so that you can ensure that your data is correct and so that you can set your own privacy settings.

    If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact dataprotection@englandathletics.org.

    SECTION H: ATHLETE/PARENT AGREEMENT
    By submitting this completed form, I confirm that I have read an understood the privacy statement and how data will be used and shared and am willing to abide by the club code of conduct for athletes [and parents]