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ATHLETE DETAILS

Title
MrMrsMiss

First Name

Surname

Address

Postcode

Telephone (Home)

Telephone (Mobile)

Date of Birth (dd/mm/yyyy)

Email*

*This is a required field for England Athletics so they can invite you to access your MyAthletics portal to complete the registration process with them. England Athletics will not market to you without your express consent. We may also use this to send you emails directly relating to club matters (newsletters, club updates, upcoming events, etc.) as detailed in the Club Privacy notice (linked further down or accessed via the site menu).

Preferred EventsRoadTrailFell

Are you a member of DCLT - Choose FitnessYesNo

If you are a second claim athlete can you please confirm your first claim club and whether you have paid your EA fees

Yes, EA Fee paidNo, EA Fee not paid
Your EA number

PARENT/CARER DETAILS

If you are under 18 years of age, please ask your parent/carer to complete the following section.

Title
MrMrsMiss

First Name

Surname

Address

Postcode

Telephone (Home)

Telephone (Mobile)

Email*

*This is a required field for England Athletics so they can invite you to access your MyAthletics portal to complete the registration process with them. England Athletics will not market to you without your express consent. We may also use this to send you emails directly relating to club matters (newsletters, club updates, upcoming events, etc.) as detailed in the Club Privacy notice (linked further down or accessed via the site menu).

ADDITIONAL SUPPORT

Please detail below any disability you have and/or any additional support you may require from our club coaches

MEDICAL INFORMATION

Please detail below any important medical information that our coaches/junior coordinator should be aware of (e.g. epilepsy, asthma, diabetes, allergies, etc.) Please do not leave blank – if there is no information please write ‘None’.

Please note: This consent needs to be provided by the parent for children under the age of 13. Anyone over the age of 13 can provide consent for the use of data under GDPR)

I consent to my special category personal data provided in the 'Additional Support' and 'Medical Information' sections to be shared with coaches for the purposes of the delivery of my safe participation in club activity. This data will not be shared or processed for any other purpose.

EMERGENCY CONTACT DETAILS

Please insert the information below to indicate the person(s) who should be contacted in the event of an incident/accident

Emergency Contact 1 Name

Emergency Contact 1 Number

Emergency Contact 2 Name

Emergency Contact 2 Number

PHOTOGRAPHY & VIDEO CONSENT (THOSE AGED 18 OR UNDER)

Danum Harriers Running Club recognises the need to ensure the welfare and safety of all young people in athletics. In accordance with the UK Athletics child protection policy and procedures, we will not permit photographs, video or other images of children/young people to be taken without the consent of the parents/carers and children/young people.

The Club will take all possible steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform the Club/County Welfare Officer immediately.

As parent/carer I consent to Danum Harriers Running Club photographing or videoing my child’s involvement in athletics for the period shown on this form for the purposes of publicising and promoting the club or sport, or as a coaching aid

Print Name

Date (dd/mm/yyyy)

CLUB PRIVACY STATEMENT & COMMUNICATION PREFERENCES

Danum Harriers 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 this privacy notice carefully and IN FULL to see how The Club will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.

DATA SHARING WITH ENGLAND ATHLETICS

When you become a member of or renew your membership with Danum Harriers Running Club 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). It is vital, therefore, that a valid email address is given, so that you can ensure that your data is correct and so that you can set your own 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.

ADDITIONAL INFORMATION

Please detail below any other information that you think has not been covered or that you wish to bring to our attention.

ATHLETE/PARENT AGREEMENT

Before submitting this completed form you must have read and understood the privacy statement and how data will be used and shared and are willing to abide by the club code of conduct for athletes (and parents)

I confirm that I have read and understood the privacy statement and how data will be used and shared and am willing to abide by the club code of conduct for athletes (and parents)
Print Name

Date (dd/mm/yyyy)