Macclesfield Harriers & A.C. Membership 2017/18
This form can be used for new membership, membership renewal and to update your membership details.

Membership runs from 1st April to 31st March each year (this is in line with England Athletics membership year).

Membership renewal can be made any time after 1st January and will still be valid until 31st March the following year.

Membership renewal is due on 31st March (and must be completed by 30th April at the latest - after this date membership will be cancelled).

Email address
New / Renewal / Update
First Name
Your answer
Surname
Your answer
Address 1
Your answer
Address 2
Your answer
Town
Your answer
County
Your answer
Postcode
Your answer
Home Telephone Number
Your answer
Work Telephone Number
Your answer
Mobile Telephone Number
Your answer
Confirm email address
Your answer
Gender
Date of Birth (please use DD-mmm-YYYY format eg 09-mar-1960)
Your answer
Are you currently a member of another athletics club
If 'YES' above are you joining Macclesfield Harriers as First or Second Claim
Your answer
List any athletics coaching qualifications below
Your answer
List any disabilities we need to be aware of (or put N/A)
Your answer
List any medical conditions we need to be aware of (or put N/A)
Your answer
Membership Fee (for year 2017/18)
Membership Information
There are two parts to the membership fee.

The club membership element is £16 (this covers club expenses, insurances, club magazine, purchase and maintenance of equipment and entry fees for team events)

The England Athletics (EA) affiliation fee (£14 for 2017/18) is payable for competing members aged 11 or over. We pass this directly to EA on your behalf.

Details about how your money is spent is available on the club website and also on the EA website.

Note: As a Senior member and you do not pay the EA affiliation part of the membership then you must enter any event organised by EA and EA affiliated clubs as an 'UNATTACHED' runner and pay the 'unattached' entry fee for the event.

Payment Methods
Pay by Cheque: Post your cheque (payable to Macclesfield Harriers & A.C.) to the membership Secretary.
Julian Brown, Membership Secretary, Fox's Reach, Lake Road, Rudyard, Leek Staffs, ST13 8RN

Pay by BACS: Sort Code: 16-24-32 Account: 11038454 Account Name: Macclesfield Harriers & A.C.
Please put your name and post-code as the reference when you make the payment

Payment Method
Declaration (must be completed)
Unless you are a senior non-competing member, volunteer or social member it is a requirement of membership that you compete for the club in races/competitions when asked to do so.

- I confirm that I am eligible to compete under UK Athletics Rules
- I accept that my personal data will be held electronically by Macclesfield Harriers & A.C.
- As a competing member (see above) I agree to my personal data being passed to England Athletics for registration
- Photographs/Videos may be taken of the person named on this form when competing or training (please contact the club welfare officer if this is a problem).
- Parents/Guardians: I agree to my son/daughter/child in my care taking part in the activities of the club

Signature of athlete
Your answer
Signature of Parent/Guardian (if under 18) or N/A
Your answer
Welcome to the club ...what happens next.....
After your form is submitted to us then we will wait for the payment (if required) to arrive (either by BACS or Cheque) and then we will process your membership request (either new membership, renewal or membership details update).

As a new member you can expect to receive a 'Welcome Leaflet' and if you have joined as a new competing member then you will receive your URN (Unique Registration Number) from England Athletics. You will use this number when entering races as a Macclesfield Harrier.

We hope you enjoy being a member of Macclesfield Harriers & A.C.

If you have any questions please contact the membership secretary Julian Brown on julianbrown10@hotmail.co.uk

Macclesfield Harriers & A.C.
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