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Membership Application

Membership year starts on 1 March and is valid for a year. Reduced membership rates are available from 1 December to the end of February to allow for the shorter time left.

Primary Applicant

Date of Birth format: DD/MM/YYYY

Address

Drop a file here or click to upload Choose File
Maximum upload size: 2MB

Contact

If submitting a junior application please provide the parent or guardian's email address.

Medical Information

Please enter NONE if no medical conditions

Running Affiliation

Triathlon is adults only

Membership

Additional Family Applicants

An additional consent form is required for each junior running applicant.

Additional Family Applicants

Additional Applicant

Triathlon is adults only
Please enter NONE if no medical conditions

Additional Applicants

An additional consent form is required for each junior running applicant.

Additional Applicants

Additional Applicant

Triathlon is adults only
Please enter NONE if no medical conditions

England Athletics Race Licences

To be eligible for affiliation discounts on races, you must hold a valid Personal EA Licence which costs £15 per annum. Typically each UKA sanctioned race would attract a reduced entry fee by £2 with a valid EA licence. Licences are valid from 1 April - 31 March.

Please select how many applicants who wish to renew/purchase an EA Licence for the period 2018/19 and enter their names.

EA licences can be purchased separately at a later date if preferred.

Club London Marathon Ballot

To be eligible for our club 2018 London Marathon place draw, members must have paid fees for the 2018/2019 year by the 31 March 2018 in addition to fulfilling the remaining criteria as described in the Club Constitution.

Declaration

  • I declare that I am / we are medically fit and able to participate for Witham Running Club and take personal responsibility for our own health when involved in Club activities.
  • I declare that I am / we are personally responsible for our own safety when involved in Club activities.
  • I agree that Witham Running Club or its officers may not be held liable for any discomfort or injury that I / we may suffer resulting from Club activities.

Equality and Diversity Policy

All individuals, regardless of ability, background, race, religion, gender, age, preferences and personality are of equal worth and are welcome as members of our Club and, once accepted as members, have all the advantages, respect and facilities that our Club and its members can offer.

Interests

Please select the disciplines that you are interested in. This selection by no means commits you to anything, but is purely to help the club plan training sessions that are useful to the members.

Our data privacy notice

When you become a member of or renew your membership with Witham Running Club, we will collect certain information about you which will include your name, date of birth, gender, address, phone number, email address, medical information affecting running (member data).

We will use the member data in relation to the calculation of relevant awards such as the club championship, club standards, and club records. Member data may also be used to submit team entries for certain events which require some of this information. We will use your email address to send you regular summaries of information posted to the website and other bespoke communications. We may use your phone number if there is a need to contact you. Your information about medical information affecting running is shared with the coaching team only, so that they are able to better respond to any situations which may arise in relation to those medical issues.

Other than England Athletics (see below), Witham Running Club will not share your information with any other party, without seeking your further prior consent. If you have any questions about the continuing privacy of your personal data, please contact membership@withamrc.org.uk.

EA’s data privacy notice

When you become a member of or renew your membership with Witham Running Club you can choose to be registered as a member of England Athletics (you will have to register with England Athletics if you ever compete for the club under the UKA rulebook). If you tick the box below 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 dataprotection@englandathletics.org.

Payment

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