North Bolton Runners Membership Form
ANNUAL MEMBERSHIP FEES
Full Members £25
Concessionary Members (Seniors (60+) and Students) £20
Juniors (<18) £16
Second Claim Members** £12

Payment should be made via bank transfer to 'North Bolton Runners'. Please state your name as the payment reference.
Account Number: 22441306, Sort Code: 40-12-25
(If you are unable to pay via bank transfer please contact us and we will be happy to facilitate cash payment)

Your membership fee includes your registration to England Athletics. As a registered athlete you are able to access a number of benefits including discounted entry on UKA licensed road and multi-terrain events.

A full list of benefits can be found here: http://www.englandathletics.org/england-athletics/athlete-registration#Benefits

!!! PLEASE NOTE: The England Athletics Affiliation Year runs from 1st April 2019- 31st March 2020. This means that if you wish to remain an affiliated member next year you will be required to renew your registration by 31st March 2020 or this will affect your eligibility to compete in competitions held under UKA rules and for your club.

**Individuals can be members of 2 different clubs under England Athletics. To become a second claim member you must already be registered with your first claim club through England Athletics, otherwise you will be required to pay the full member fee of £25.

Additional Benefits exclusive to NBR members:
- Exclusive access to our unique club kit
- Discounts at local sports/fitness outlets
- Discounts at local food and drink establishments

See the membership section on our website for details of the discounts on offer: https://www.northboltonrunners.co.uk/

First Name *
Your answer
Last Name *
Your answer
Gender
Date of Birth: *
Your answer
Address Line 1: *
Your answer
Address Line 2:
Your answer
Town/City: *
Your answer
Postcode: *
Your answer
Telephone Number:
Your answer
Email Address: *
Your answer
What type of membership are you applying for? *
Emergency Contact Name: *
Your answer
Emergency Contact Number: *
Your answer
Data Protection:
Once you complete this application form and we have received your membership fees our membership secretary (Hannah Clarkson) will input your personal data into a membership portal run by England Athletics. They use your details to enable you access to an online portal called myAthletics. England Athletics will contact you to invite you to sign into and update your myAthletics account (which will also allow you to set and amend your privacy settings). Please check your contact details on the portal are correct. 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

If you have any other questions about your membership of North Bolton Runners please do not hesitate to contact us through facebook or northboltonrunners@gmail.com.

Please note it may take up to 7 days to receive your confirmation email. If you haven't received it within this time frame please contact us and will we follow this up for you.

I hereby confirm that I am an amateur according to UK Athletics laws and apply for membership of North Bolton Runners
Submission of this form implies acceptance of these terms.

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