Membership Junior

Application for Membership 2022 (Junior Aged 8-17)

(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).


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 

Existing members click on the "renewal" button.

Details of Junior Member

eg Mr, Miss etc
* The mobile phone number must be that of the parent or carer, not the Junior
* The email address must be that of the parent or carer, not the Junior


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.)

Sporting information

If yes, please specify below


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.


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.

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


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.

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