NEW FOREST RUNNERS
2018-2019 Membership Form
Email address *
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Members Details
First Name *
Your answer
Surname *
Your answer
Date of Birth *
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Address Line 1 *
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Address Line 2
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Post Town *
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County *
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Postcode *
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Home Tel Number *
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Mobile Number
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Email address *
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Membership Options
PLEASE CHOOSE YOUR MEMBERSHIP OPTIONS CAREFULLY.

EA - ENGLAND ATHLETIC - Registration with EA is highly recommended, and required if you compete for the club in EA registered events. Once you are a registered athlete you will be sent an athlete pack including a competition licence, and will benefit from discounts when entering EA affiliated races. By choosing an membership option with EA affiliation you are also consenting to New Forest Runners passing your personal details to English Athletics

Is New Forest Runners your "First Claim Club" - Enter yes if you NOT are already registered with another EA approved running club? *
If "no" please name your "First Claim" club
Your answer
MEMBERSHIP REQUIRED - for full explanation of Membership options please visit www.newforestrunners.com/membership. *
Has full payment been made? If so how? Please contact membership.secretary@newforestrunners.com for payment instructions *
Do you require a membership card? *
Required
Email address *
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Medical Screening & In case of Emergency Contact Details (ICE) Details
PLEASE ANSWER ALL SECTIONS
Has the athlete experienced any of the following symptoms that require self-medication: *
Required
Please enter all symptoms that apply to above separated by a (,) comma.
Your answer
Please ensure that the athlete has been trained to self-medicate and they carry their medication during training AT ALL TIMES. Please note that the coaches are not allowed to carry or administer medication.
Has the athlete experienced any of the following symptoms which require our coaches to modify training to include the athlete? *
Required
Please enter all symptoms that apply to above answers separated by a (,) comma.
Your answer
Has the athlete ever experienced the following symptoms? *
Required
If any answered "YES" to any of the above conditions in previous answer - please supply details. Separated by a (,) comma
Your answer
Name of Emergency Contact *
Your answer
Emergency Contact Tel No. *
Your answer
Email address *
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New Forest Runners Data Protection Privacy Preferences
To be completed for all Membership Applicantions

Under new government regulations known as GDPR that came into European law force on 25th May 2018 covering the use of personal data we need your specific approval to use your data. This requires New Forest Runners to seek your “informed consent” to allow us to continue to hold this personal data in our records, to process it and to continue to communicate with you as a Member.

The information you provide in this form will be used solely for dealing with you as a member of New Forest Runners.

New Forest Runners has a Data Privacy Policy which can be found at (www.newforestrunners.com/club-profile/clubdocumentation. Your data will be stored and used in accordance with this Policy.

Do you agree that New Forest Runners can store and process your (or your Son/Daughter if completing on behalf of Junior members) personal details as described in the Data Privacy Policy? This can be seen on New Forest Runners web site: http://www.newforestrunners.com/club-profile/clubdocumentation. This is the same as we do currently. If you choose "no", by law - we will not be able to contact you and this may affect your current membership with the club. Your details will be removed from all club records following submission of your responses. *
Required
Do you (or your son/Daughter) wish to subscribe to receive emails sent on behalf of the club to the members? *
Required
Newsletter - do you agree to your (or your Son/Daughter if completing on behalf of Junior members) name being published in the members only newsletter to share race results (when applicable)? *
Required
When participating in training and events, it is important that we have an emergency name and contact number in the unlikely event that we need to get in touch with someone on your behalf. We would never share this information with anyone other than those within the club that require this information and we will keep it safe at all times. N.B For Junior members - this is mandatory. N.B It is your responsibility to gain this individuals consent prior to sharing their details with us. *
Required
Email address *
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Photographs / Publicity
At times the Club may wish to take photos of the Club in action at races, training sessions events or social activities for promotion and celebration of the activities and successes.

Photographs may be used within official club electronic sources, official social media accounts as well as supply to the Press.

The Club will take all steps to ensure these images are used solely for the purposes they are intended.

Only Club officials or those appointed by the Club will be permitted to take photographs on behalf of the club to be used for these purpose.

Please select the following options to indicate that you are willing that New Forest Runners can use your (or your Son/Daughters if completing on behalf of Junior members) photograph. *
Required
Email address *
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Members Consent
Must be completed for all Membership Applications
PLEASE READ CAREFULLY
• I agree to the named person on this application form to taking part in club activities

• I agree that to the named person on this application form will follow the club code of conduct when taking part in all club activities taking part in activities of the club

• I confirm that to the best of my knowledge that to the named person on this application form does not suffer from any medical condition other than those listed on this form

• I consent to to the name person on this application form travelling by any form of public transport, minibus, or motor vehicle driven by a club coach or any other parent/club member attending, to any event in which the club is participating

• I understand that the Club or Organisers accept no responsibility for loss, damage or injury caused by or during attendance on any of the club’s organised activities except where such loss, damage or injury can be shown to result directly from the negligence of the Club or the Organisers.

Consent for Club participation *
Required
Thank you for signing up - As soon as your membership has been processed we will send you a confirmation email.
Please contact the Membership Secretary at membership.secretary@newforestrunners.com if you have any queries.
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