Sidmouth Running Club - Membership Form

Select a Membership Type

Family Membership is defined as a maximum of 2 adults plus children under the age of 18.

Name

Date of Birth

Gender

Name

Date of Birth

Gender

Name

Date of Birth

Gender

Emergency Contant Name

Emergency Contact Phone Number

Address

Address Line 1

City

State / Province / Region

Postal Code

Phone Number

Email

Emergency Contant Name

Emergency Contact Phone Number

Please read the Constitution, Rules, Safeguarding and GDPR Privacy Policy on the website

I hereby certify that the above details are correct and that I give full consent for the above applicant/s to become a member of the club and to participate in training and competitions within the sport of athletics.

Signed by Parent/Guardian

Date

Medical Information

Do you give permission for photography/videos of your child on social media, the club website or in the press?

Yes
No

Do you give permission for photography/videos which would be used for training purposes only?

Yes
No

Membership Payment

I confirm that I/we wish to become a Sidmouth Running Club member
I confirm that I have sent the membership payment via Bank Transfer
I have read and consent to the club policies Constitution, Health & Safety Policy, Privacy Policy.

Sort code: 40 42 02 Account Number: 61493078
Please ensure your name goes in reference box.

Signature or Emergency

Signed

Date

Very Important: Only paid up members of the Club are automatically covered by the Club Insurance. It is your responsibility to maintain your membership. The Club will remind you mid-January and if not paid by 31st January you will no longer be a member.

GDPR Agreement

I consent to having this website store my submitted information so they can respond to my inquiry.

SRC Membership Form

Family Membership is defined as a maximum of 2 adults plus children under the age of 18.

Please read the Constitution, Rules, Safeguarding and GDPR Privacy Policy on the website

Very Important: Only paid up members of the Club are automatically covered by the Club Insurance. It is your responsibility to maintain your membership. The Club will remind you mid-January and if not paid by 31st January you will no longer be a member.

Exe to Axe

Useful Information

Exe to Axe

Useful Information