Please provide a contact name and number of someone who we can contact in case of an emergency.
The following form must be completed. For athletes under the age of 18, this must be done by a parent/guardian. Please state the name of the person filling in this form and your relationship to the named athlete.
Please enter your England Athletics Affiliation Number (Competition Licence Number)
Have you previously belonged or do you currently belong to any other Athletics Club - if so which one?
If applying for First Claim Membership AND you are a member of another Athletics Club you must complete a Change of First Claim Club Form online via England Athletics Website, to formally resign from your previous Club, this will allow us to register you as a Cleethorpes Athletics Club member with England Athletics - have you completed this? (enter Yes / No)
Are you willing for photographs to be taken and used to publicise the clubs activities through the media and the club website. (enter Yes / No)
Please give details of any medical conditions/health matters/allergies that might affect you whilst taking part in activities, including any medications
It may be essential at some time for authorised persons acting on behalf of the club to have necessary authority to obtain urgent treatment that may be required whilst at representative club competition or training. Do you give authority for urgent treatment (enter Yes / No)
Where did you hear about the club?
Are you a trained First Aider (enter Yes / No)
Terms and conditions of membership
*By registering as a member of Cleethorpes Athletics Club you are hereby accepting and agree to abide by both the rules of UK Athletics and the Club Code of Conduct for Athletes which can be found on the club website. You are also declaring that the following statements are true: I agree that to the best of my knowledge I am medically fit for taking part in athletics. I am eligible to compete for Cleethorpes Athletics Club in accordance with UKA Rules, wear club colours when representing the Club at races or events. I agree to notify the club of any changes to my personal details and medical information. Cleethorpes Athletics Club are not under any liability whatsoever in respect to personal injury, loss or damage caused when you are attending club sessions or representing the club at any competition.
I understand personal data collected on this form will be stored electronically and will only be used for the purpose of administration as required by the club. It will only be disclosed to appropriate club officials. I also understand that as a competing member, that data will also be held by England Athletics.
When you become a member of or renew your membership with Cleethorpes Athletics 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.
I agree with the disclaimer as described above. Refund Policy
*Sorry, we do not offer a refund on membership fees for early resignation or leaving within the membership year
I agree with the refund policy as described above. Security Question
*What number is between 103 and 105?
Enter answer here.