(Senior members, please complete the senior membership form.)
Date of Birth:
Relationship to athlete:
If your child is already a member of another athletics club? Then please let the Juniors membership secretary know the details so they can arrange for any 2nd claim details.
In the event of an emergency, who should we contact?
Please list your child’s medical conditions that the coaches or officers of the Club need to know about, including any medication currently being taken or must be relied upon in an emergency, or if there are any known allergies
If you have concerns about confidentiality or need to provide further details, please discuss these with your child’s coach:
The club relies entirely on the services of volunteers. Don’t worry if you can’t commit to offering any help, but if you think you might be able to help support the club by volunteering for are willing to be contacted when your help may be needed, please indicate this below.
I would consider volunteering for the club:
Club membership and track fees can be paid in several ways. In registering your child with the club, they may also be registered with England Athletics if they want to compete in any competition of league.
Member + English AthleticsMember only
Select Track Fees Payment:
Pay At TrainingPay Via Standing Order
Please read and accept the following statements by ticking the acceptance box at the bottom of the form. If you have any concerns or need to highlight any conditions that you must attach to these statements, please make them known before, or at the time that you submit this form.
1. GDPR, data protection, information management and confidentiality.
When your child becomes a member of, or renews your membership with Poole Runners you can also choose to be registered as a member of England Athletics (you will have to be registered with England Athletics if you ever compete for the club). If you are EA registered, 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 personal details submitted on this form being held by the club for a period of up to two years after receipt, for the purpose of club administration only.
Access to an athlete’s information will also be made available to coaches and authorised officers of Poole Runners solely to facilitate club activities. Examples of this may include, but are not limited to:
o Race entry
o Club member survey
o Parent Contact for the purposes of discussing Poole Runners activities or in an emergency
I understand and accept how the information provided on this form will be managed and that if there are any changes, I will make the club aware by emailing email@example.com and briefing club-coaches as soon as possible.
My child is in good health and can take part in athletics training and events.
In the event my child needs FIRST AID or urgent EMERGENCY MEDICAL treatment when participating in events and training activities as a member of POOLE RUNNERS, any officer of the club or other adult acting on behalf of the club, is authorised to ensure that appropriate emergency treatment is given to the athlete named on this form by trained personnel.
Any changes to my child’s medical status or the scope of this authorisation will be immediately communicated to the club
I understand that Club or responsible personnel will take every reasonable precaution to prevent accidents from happening and that belongings are cared for, but that the club or any of its coaches/officials shall not be liable for any accident injury, loss or damage. I understand that the club is only responsible for athletes during official training sessions and organised events. Parents are responsible for making sure that their children are collected at the end of each session.
4. The Use of Photography and Film
I consent to Poole Runners using photographic or video footage of my child’s involvement in athletics. Once taken, the Club will take all reasonable steps to ensure that any images are used solely for reasons that support the promotion of the club, its events and activities only, including promotional material for club events where permission is given and within closed groups on Facebook.
Poole Runners are committed to providing a caring, friendly and safe environment for all our members so they can participate in a relaxed and secure atmosphere. I acknowledge this and agree with the club’s ethos of fair play and inclusion for all its members. I agree that a good standard of behaviour is expected always, from all members and families, when attending events or training supported by the club. I agree that my child and I will abide by the club’s constitution and codes of conduct: Click here to open details in new tab
I have read & agree with the declaration 1-5 above, including the codes of conduct.