z Form - Harleston Running Club

Athlete Details

First Name *

Last Name *

Street Address *

Town/City *

Postal Code *

Email Address *

Phone

Mobile

Date of Birth *

New Member or Renewal

Please select if you are joining as a new member or renewing existing membershipNew MemberRenewal

Membership Type

Please select your Membership Type *UKA Affiliated - £35Annual Affiliated - £85HRC Club Membership - £12Annual HRC Club Membership - £62Second Claim Membership - £12Student Affiliated Membership (18+) - £28HRC Student Membership (18+) - £5Student Memership Second Claim (18+) - £5

First Claim Club (if joining HRC as a second claim member)

England Athletics URN (Affiliated members)

Emergency Contact Details

Name *

Mobile Phone *

Relationship to Athlete *

Name *

Mobile Phone *

Relationship to Athlete *

Additional Support

ADDITIONAL SUPPORT *

Medical Information

Medical Information *

I consent to my personal data, additional support and medical information being shared with HRC coaches to enable my safe participation in HRC activities. This data will not be shared or used for any other purpose *YesNo

Club Privacy Statement and Communication Preferences

Harleston Running Club (HRC) take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation.

Please read HRC's Privacy Notice, that can be found on our website, to see how HRC will treat the personal information that you provide to us. HRC will take reasonable care to keep your information secure and to prevent any unauthorised access.

I would like to receive Information via email from HRC about specially selected products and services available from commercial sponsors and partners *YesNo

In addition to email, I am happy to receive communications via:Whatsapp/Facebook/MessengerSMS

I agree to photographs of me being included in HRC publicity materials/social media/onlineYesNo

Data shared with England Athletics

When you become a member of or renew your membership of Harleston Running Club, we 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

Sharing the data of both affiliated and social athletes with England Athletics means that Harleston Running Club does not have to maintain a standalone membership system.

If you have joined Harleston Running Club as a social member you may chose not to allow us to transfer your data to England Athletics and the club will manually record your membership. However, if you then decide to compete for the Club under UKA Rules (i.e. become an affiliated member) we will need to register you with England Athletics.

I agree to my data being shared with England Athletics *YesNo

Athlete Agreement

Agreement statement

By submitting this completed form, I confirm that:

I have read and understood the Privacy Notice (see HRC website) and know how my personal data will be used and shared
I am willing to abide by the UKA & HCAF code of conduct for athletes. (See the UKA & HCAF Codes of Conduct Booklet on the HRC website)
I am willing to abide by UKA & HCAF adult and child safeguarding policies and procedures
I am willing to abide by the HRC Grievance and disciplinary policy and the HRC Anti-bullying policy

ALL DOCUMENTS CAN BE FOUND ON THE HRC WEBSITE: Policies and Procedures