Title TitleMrMissMrsMsDrOther

Name

Date of Birth

Email Address

Mobile No.

Address

Postcode

Gender GenderMaleFemale

Emergency Contact Name

Emergency Contact No.

Relevant Medical Info

Have you previously been a member of a running club? Have you previously been a member of a running club? Yes No

Are you wishing to join YWR as a 2nd claim club? Are you wishing to join YWR as a 2nd claim club? Yes No

UKA Number

In order for the club to keep costs down, all club notices, newsletters, away run information etc will be sent out via email and on the club’s website – www.yorkshirewoldsrunners.co.uk. Copies will also be posted on the club noticeboard. Please let the Club Secretary know if you have any issues in receiving information. When you become a member of or renew your membership with Yorkshire Wolds Runners, your membership application is processed through England Athletics. You can also choose to be registered as a competitive member of England Athletics (you will have to register with England Athletics if you ever compete for the club in competition Under UKA Rules). 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.If you do not tick the box below and then decide to compete for the club, we will need to register you with England Athletics and we will inform you at that time. All other personal information is held by Yorkshire Wolds Runners and is not shared with any third party and is only used to keep you up to date with events, training and runs happening within club. Please confirm that you consent for your data being used like this by ticking this box In order for the club to keep costs down, all club notices, newsletters, away run information etc will be sent out via email and on the club’s website – www.yorkshirewoldsrunners.co.uk. Copies will also be posted on the club noticeboard. Please let the Club Secretary know if you have any issues in receiving information. When you become a member of or renew your membership with Yorkshire Wolds Runners, your membership application is processed through England Athletics. You can also choose to be registered as a competitive member of England Athletics (you will have to register with England Athletics if you ever compete for the club in competition Under UKA Rules). 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.If you do not tick the box below and then decide to compete for the club, we will need to register you with England Athletics and we will inform you at that time. All other personal information is held by Yorkshire Wolds Runners and is not shared with any third party and is only used to keep you up to date with events, training and runs happening within club. Please confirm that you consent for your data being used like this by ticking this box Agree

Membership Type Required Membership Type Required Competitive UKA membership - £32 (annual subs due 1st April) Social Membership - £17 (annual subs due 1st April)

Declaration: I wish to join Yorkshire Wolds Runners and declare that I am medically fit to run. I agree that I attend club runs and events entirely at my own risk. Yorkshire Wolds Runners will in no way be held responsible for any injury or illness incurred and the club recommends that you seek medical advice before undertaking any new exercise routine. By returning this completed form, I am willing to abide by the club’s code of conduct for athletes and agree to always behave in the manner befitting a Yorkshire Wolds Runner, when attending club and events. Declaration: I wish to join Yorkshire Wolds Runners and declare that I am medically fit to run. I agree that I attend club runs and events entirely at my own risk. Yorkshire Wolds Runners will in no way be held responsible for any injury or illness incurred and the club recommends that you seek medical advice before undertaking any new exercise routine. By returning this completed form, I am willing to abide by the club’s code of conduct for athletes and agree to always behave in the manner befitting a Yorkshire Wolds Runner, when attending club and events. Agree