Membership: 16-17 Order Number Application for Membership 2021 (Aged 16 -17) (If you need another type of membership, click here ) You may join online by filling in the form below, which will then take you to PayPal for paying your subscription securely using a credit or debit card (You do not need to be a member of PayPal). SUBSCRIPTIONS RUN FOR 12 MONTHS FROM 1st APRIL 2021 £5.00 We will use this information to ensure that you are kept informed about club events. Type of membership * New Member Renewal Existing members click on the "renewal" button. Helping the club * Bungay Black Dog Running Club hosts a number of external club events throughout the year and seeks ongoing support from its membership in the planning, organisation and implementation of those events. All members are required to help support one or more of our races each year. To affirm your contribution and support and to ensure the ongoing success of those events,please indicate below at which BBDRC race(s) you will help. All race dates are subject to change Helping the club Groggy Doggy - 27th December 2021 Summer Series 10k – Race 1 (1st June 2022) Summer Series 10k – Race 2 (29th June 2022) Summer Series 10k – Race 3 (27th July 2022) Festival of Running - 10th April 2022 Title * eg Mr, Mrs, Miss etc Name * Address * Post Code * Mobile Phone Home Phone * Email * Date of Birth (YYYY-MM-DD) * Occupation * Emergency Contact Details Please insert the information below to indicate the person(s) who should be contacted in event of an incident/accident. Emergency Contact name (e.g. spouse, parent) * Emergency Contact Phone * Disability Do you have a long term health condition or impairment that limits your daily activities? * Yes No If yes, please specify below Sporting information Have you been running before? * Yes No Medical Information Please detail below any important medical information that our coaches should be aware of (e.g. epilepsy, asthma, diabetes etc.) Medical Information First Aid In the event of a medical emergency, a qualified member of the club may be required to administer first aid. By submitting this form you agree to such action being taken by the club. Confirmation * I confirm my agreement to the following as part of my application to join or renew my membership of Bungay Black Dog Running Club. I wish to join/renew my membership of Bungay Black Dog Running Club (BBDRC). I will abide by the BBDRC Senior Athletes Code of Conduct and the Rules for Competition as determined by British Athletics General Data Protection Regulation We take the protection of your data very seriously. We use the information on this form on the basis that: 1. In signing this form you have given your consent to the use of your data 2. The information is necessary in order to protect your vital interests while undertaking activities within the club 3. The information is used in the legitimate interests of ensuring BBDRC is run safely and effectively for all members Your information may be shared within the club for the purposes of club administration, event management, coaching and safety. Sharing with Third Parties BBDRC will never share or sell your data to any third party other than England Athletics. When you become a member of or renew your membership with Bungay Black Dog 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). If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact firstname.lastname@example.org. I agree to my data being shared with England Athletics * Yes Equality Sport can and does play a major role in promoting inclusion of all groups in society. However, inequalities have traditionally existed within sport, particularly in relation to gender, race and disability. Sport England is committed to promoting and developing sports equalities and taking steps to agree them.