Tyne Bridge Harriers – Online Membership Form

SECTION A: ATHLETE DETAILS

Title (required) MrMrsMissMsDoctorProfessorOther
Athlete Name (required)

House Number and Street (required)

Postcode (required)

Mobile phone number (if under 16 please provide a parent or guardian's) (required)

Athlete's Date of Birth (required)

Athlete's Email Address (If a junior member please provide a parent/guardian's email address (required)

Are you an existing member of a UKA registered running club?

Do you have any athletics qualifications e.g. Leader in Running Fitness, Coaching Assistant, Officials etc. If so, please provide details.

Are you a qualified first-aider? If so, please provide details.

SECTION B: PARENT/GUARDIAN DETAILS
If the athlete is under 16 years of age, please provide parent/guardian details otherwise move to Section C.

Parent/Guardian First Name (required)

SECTION C: EMERGENCY CONTACT DETAILS
Please insert the information below to indicate the person who should be contacted in event of an incident/accident.

Emergency Contact Name (required)
Emergency Contact Number (required)
Relationship to you (required)

It may be essential at some time for authorised persons acting on behalf of the club to have the necessary authority
to obtain urgent treatment which may be required whilst at representative club competition or training. Please tick this box to indicate your consent to emergency treatment being given to the named athlete on this form by trained
personnel.

Do you consent to the provision of medical aid?

I confirm I have read the social distancing guidance (opens in new tab)

SECTION D: USE OF PERSONAL DATA
Tyne Bridge Harriers requires your consent to use your personal information and/or image for purposes other than
membership and operation of the club, such as promotional and online activities and marketing.
To assist you in making an informed decision about whether to give us permission to use your personal data,
further information on each of the uses below is available at www.tynebridgeharriers.com/dataprotection/

Tick if you consent to you/your child:-

Being photographed/recorded during competitions and training by photographers known to the club and for your/their name, age and image to be published.YesNo

Being photographed/recorded for the purposes of the club’s website and social media.YesNo

Receiving communications about sporting fixtures, club news and achievements.YesNo

Receiving relevant athletics related marketing communications (e.g. non-Tyne Bridge Harriers sporting events you may wish to enter. We will never pass your address to anyone else for this purpose)YesNo

When you become a member of or renew your membership with Tyne Bridge 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

SECTION E: TYNE BRIDGE HARRIERS PAYMENT

We can only process online membership forms once a payment has already been sent. Please confirm here that you have already made payment.

SECTION F: ATHLETE AGREEMENT

Athletics can be a demanding sport and can require high levels of physical demand. If you are unsure about your ability to participate then we strongly urge you to seek medical advice from a doctor or specialist prior to joining the club as we are unable to provide advice to runners. If you have an existing physical/medical condition that you feel may require club sessions to be adjusted to suit you or that a club coach should be aware of then please speak to a member of the committee prior to joining.

By ticking this box, I am willing to abide by the club code of conduct for athletes and agree to always behave in the manner befitting a Tyne Bridge Harrier athlete, when attending club events. The TBH Code of Conduct may be viewed here.

IF ANY SECTIONS OR TICK-BOXES HAVE NOT BEEN COMPLETED THEN YOU WON'T BE ABLE TO SUBMIT THIS FORM, PLEASE CHECK CAREFULLY.