Membership Junior Name Application for Membership 2021 (Junior) (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. Family Membership, at a discounted rate, is available by applying on-line click here Type of membership * New Member Renewal Existing members click on the "renewal" button. Details of Junior Member Title * eg Mr, Miss etc Name * Address * Post Code * Mobile Phone * The mobile phone number must be that of the parent or carer, not the Junior Home Phone * Email * * The email address must be that of the parent or carer, not the Junior Date of Birth (YYYY-MM-DD) * Parent or Carer’s Occupation Disability Do you have a long term health condition or impairment that limits your daily activities? * Yes No If yes, please specify below Medical Information Please detail below any important medical information that our coaches should be aware of (e.g. epilepsy, asthma, diabetes etc.) Medical Information Sporting information Have you been Running before? * Yes No If yes, please specify below Photography From time to time the club may take photographs for publicity purposes. Please indicate below if you consent to the club taking and using such photographs. * I agree I DO NOT agree 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. Emergency Contact Details - to be completed by parent/carer 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. Parent or Carer) * Emergency Contact Phone * Declaration By returning this completed form I agree to my son/daughter/child in my care taking part in the activities of the club. I understand that the club is not responsible for them before or after training hours. I understand that I will be kept informed of club activities including timing and transport details. I understand that, in the event of injury or illness, all reasonable steps will be taken to contact me and to deal with that injury/illness appropriately. I agree to carry out and adhere to all policies as stated here and fully on the Club website. I understand that any updates or changes I will automatically be notified of and after that unless I object in writing, I will also accept. I agree to undertake the role of parent(s)/helper to support the junior membership at least once a term but that I may change the date by notifying the relevant Club Official with not less than 7 days notice - I would prefer:- * Mondays Thursdays Either Full Name of parent/carer: * 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 email@example.com. Share Data England Athletics * I agree to my data being shared with England Athletics Junior Helpers' Rota * I agree to that my email address can be shared with other parents/carers in order to facilitate the effective and efficient management of the Junior Helpers' Rota 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.