Step 1 Enter Your Details

Please use the form below to become a member of our club. It is your responsibility to enter the details correctly. Once you have filled our membership form in please please proceed to our confirmation page.

Personal Information

(Number, Name or Flat Number)

Format DD/MM/YYYY

(Please enter a vaild email address. We use this to send important membership news)

(Enter your email address again)

(If applicable)

(If applicable)

(If applicable)

Emergency Contact Details

Please provide a contact name and number of someone who we can contact in case of an emergency.

Additional Information

I have read and agree to abide by the club code of conduct whenever I am present at the club activities or competition (See Website for full details)

Allow my photograph to appear in the club related media in connection with club activities

Does the athlete suffer from any medical condition or is there anything you would like their coach(es) and team manager(s) to be aware of e.g. Asthma, Diabetes?

Please give details on any Coaching qualifications that you have:

Would you be interested in volunteering for the club and in what capacity?

UKA affiliation number for second Claim membership

membership Options

£31 - 11 and over on 31st August 2019, Annual Membership Subscription(Includes £15 UKA and £2 Northern Athletics Fee)
£15 - Over 8 to under 11on 30st August 2019, Annual Membership Subscription
£15 - 2nd Claim member, must have UKA affiliation with another club

Terms and conditions of membership

*Consent/Medical Declaration I agree to participating in activities and competitions organised by Barton & District Athletic Club. I agree that to the best of my knowledge I am medically fit for athletic events. I further undertake to notify Barton & District Athletic Club in writing in advance if I wish to withdraw my consent or my medical information changes.

I agree with the disclaimer as described above.

Refund Policy

*

I agree with the refund policy as described above.

Security Question

*What number is between 103 and 105?

Enter answer here.