Request edit access
Membership Form 2021/2022
Torrington Amateur Athletics Membership form
Sign in to Google to save your progress. Learn more
Email *
Forename *
Surname *
Address *
Home Telephone number *
Mobile Telephone number *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Emergency contact name *
Emergency contact tel number *
Do you have any medical conditions, injuries etc that our coaches should be aware of? *
If yes, please provide further details
Do you have any support needs our coaches should be aware of *
If yes, please provide further details
The Club is run by volunteers and we can only run our events with the help of members. Please say here if you are willing to help out from time to time *
1. I declare that I am an amateur and will be bound by the rules of UK Athletics. *
2. I confirm that I agree to the Club Constitution and Code of Conduct *
Required
3. I understand that my personal details will be held on a computer database and the information will be passed on to club officials and UK Athletics for the purpose of membership/affiliation and will remain confidential. England Athletics will not pass my details on to third parties unless my consent is given. *
By submitting this form I agree to the above statements and confirm the information provided above is correct to the best of my knowledge. *
Required
4. I consent to the Club’s use of photos taken from time to time to promote the Club. *
Required
5. I understand the Club may send group emails and consent to my email address being used for this purpose *
Required
6. I agree to adhere to the Club Coach’s instructions and to participate in pre-organised Club activities. *
Required
I confirm that I have read the Club guidelines in relation to Covid 19 including the risk assessments and will adhere to these at all times. *
Required
Pre-attendance training session - official symptom check. All members and coaches must undergo a self-assessment for any COVID-19 symptoms. No-one should leave home to participate in sport if they, or someone they live with, has symptoms of COVID -19 currently recognised as any of the following: *A high temperature *A new, continuous cough *A loss of, or change to, their sense of smell or taste. Should an individual have demonstrated any such symptoms, they must: -follow NHS and PHE guidance on self-isolation which can be found at: https://www.nhs.uk/conditions/coronavirus-covid-19/symptoms/ and -inform the TAAC Covid coordinator if they have had any contact with TAAC member/attended training Participants will be made aware of any increased risk associated with taking part in activity, based on the club risk assessment which must be read before attendance at sessions. They should also be strongly advised to comply with public health restrictions and avoid high risk behaviour outside the sports setting to reduce the risk to their fellow participants when they do attend. *
Required
I consent to my personal data being used for the purposes of health and safety, including without limitation in connection with the Government’s coronavirus “Track and Trace” policy
I confirm that a payment of £30.00 (£35.00 if paying after 31 March 2021) has been made by BACS to Sort Code: 51-70-16, A/C: 79085571 and understand that membership will not be accepted until payment is received. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy