Exmouth Harriers Membership 2018
Please complete form and pay membership either by transfer, cheque or cash. Please email conformation of bank transfers to membership.exmouthharriers@gmail.com

Account details: Exmouth Harriers
sort code: 77-10-05
Account number: 21554468
Reference: Your surname hyphen membership (up to the maximum letters you can enter) e.g White-Membership.
Or you can get cash or cheque to Emma or Ben at training nights.

If membership is paid on or before 31st March it is £20 for the year, after that it is £25.

We can not sign you up to England Athletics until we have the completed form for 2018.

Your answer
Address and Postcode
Your answer
email address
Your answer
Date of birth
Age at 1st April 2018
Your answer
Contact Number
Your answer
Emergency contact name
Your answer
Emergency contact number
Your answer
Please indicate if Exmouth Harriers is not your first claim club
Your answer
Please tick that you have read the following: When you become a member of or renew your membership with Exmouth Harriers 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). 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.
By filling in this form you agree that Exmouth Harriers will hold your data for the following year. Data will not be shared with third parties but will be accessible to Exmouth Harriers committee members.
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