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Wimborne Athletic Club

Wimborne Athletic Club

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Membership Form

    Welcome to Wimborne Athletic Club. Thank you for choosing to join our club, we look forward to
    welcoming you and your family.
    Please complete the details below:
    SECTION A: MEMBER DETAILS






    Date of Birth

    What is your sex?

    SECTION B: PARENT/CARER DETAILS
    If you are under 18 years of age, please ask your parent/carer to complete the following:




    Please note: This is a required field, so England Athletics can invite you to access your
    MyAthletics portal to complete the registration process with them. England Athletics will not
    market to you without your express consent.

    SECTION C: EMERGENCY CONTACT DETAILS
    Please insert the information below to indicate the persons who should be contacted in event of
    an incident/accident.

    SECTION D: MEDICAL INFORMATION
    Please detail below any important medical information that our leaders or coaches should be
    aware of. This will help us support you during club activity. Please do not leave blank - if there is no information please write "none"

    SECTION G: CLUB PRIVACY STATEMENT & COMMUNICATION PREFERENCES
    Wimborne Athletics 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 policy carefully to see how we 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 H: DATA SHARING WITH ENGLAND ATHLETICS
    When you become a member of or renew your membership with Wimborne Athletics 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 I: VOLUNTEERING
    Our club is run by volunteers, and we are always looking for new people to come and support club
    activity. We provide training and support for all new volunteers. If you are interested in volunteering
    at our club, please let us know by completing the information below and our volunteer coordinator
    will be in touch about next steps.
    Are you interested in volunteering at our club?

    SECTION J: MEMBERSHIP FEES
    The membership year runs from January to December. If you join part way through the year you
    pay a reduced fee. See our website to see how much you need to pay:
    Membership Fees
    Please indicate in the box below the type of membership required:

    SECTION K: PAYMENT DETAILS
    Please pay your membership fee by Bank Transfer as follows:
    Wimborne Athletic Club
    Sort Code 309968
    Account number 00510671
    Reference: Athlete surname and initials

    SECTION L: DECLARATION
    I confirm that I have read and agree to abide by the following:

    For parents/Carer only:

    By sending this form you confirm that this information is correct