I consent to my special category personal data provided in Section D to be shared with coaches/team managers for the purposes of the delivery of my safe participation in club activity. This data will not be shared or processed for any other purpose. (This consent needs to be provided by the parent for children under the age of 13. Anyone over the age of 13 can provide consent for the use of data under GDPR) Signature Print Name section e: Emergency contact details Please insert the information below to indicate the persons who should be contacted in the event of an incident/accident. 1st Emergency Contact Name Relationship: 1st Emergency Contact Numbers Home tel: : 2nd Emergency Contact Name Relationship: 2nd Emergency Contact Home tel: : Numbers section f: Athlete AGREEMENT As a competitive athletics club, it is a condition of membership of Ipswich Harriers that you train regularly and are willing and available to compete for the club on a regular basis when asked to do so by your Coach/Team 13 and Under 15 competitions are always on a Sunday. Under 17 and above competitions can be on Manager. (Under either a Saturday or a Sunday). Are you available to compete on Saturdays? Yes / No Sundays? Yes / No (please highlight as appropriate) By returning this completed form, I am willing to abide by the above condition of membership and by the Ipswich Harriers Code of Conduct (a copy of which can be found on or in our Clubhouse) for athletes and agree to always behave in the manner befitting an Ipswich Harriers athlete when attending club events. Signature Print Name Date section g: PaRENT/ATHLETE AGREEMENT By returning this completed form, I confirm: 1. That I agree to the above-named athlete taking part in the activities of the club. 2. That I have read and agree to the Athlete Agreement statement above (Section F) and am also willing to abide by the Club Code of Conduct whenever I am present at club activities or competition. 3. That I have read and understood the Privacy Statement (a copy of which can be found on or in our Clubhouse) and how data will be used and shared. Signature Print Name Date
I consent to my special category personal data provided in Section D to be shared with coaches/team managers for the purposes of the delivery of my safe participation in club activity. This data will not be shared or processed for any other purpose. (This consent needs to be provided by the parent for children under the age of 13. Anyone over the age of 13 can provide consent for the use of data under GDPR) Signature Print Name section e: Emergency contact details Please insert the information below to indicate the persons who should be contacted in the event of an incident/accident. 1st Emergency Contact Name Relationship: 1st Emergency Contact Numbers Home tel: : 2nd Emergency Contact Name Relationship: 2nd Emergency Contact Numbers Home tel: : section f: Athlete AGREEMENT As a competitive athletics club, it is a condition of membership of Ipswich Harriers that you train regularly and are willing and available to compete for the club on a regular basis when asked to do so by your Coach/Team Manager. (Under 13 and Under 15 competitions are always on a Sunday. Under 17 and above competitions can be on either a Saturday or a Sunday). Are you available to compete on Saturdays? Yes / No Sundays? Yes / No (please highlight as appropriate) By returning this completed form, I am willing to abide by the above condition of membership and by the Ipswich Harriers Code of Conduct (a copy of which can be found on or in our Clubhouse) for athletes and agree to always behave in the manner befitting an Ipswich Harriers athlete when attending club events. Signature Print Name Date section g: PaRENT/ATHLETE AGREEMENT By returning this completed form, I confirm: 1. That I agree to the above-named athlete taking part in the activities of the club. 2. That I have read and agree to the Athlete Agreement statement above (Section F) and am also willing to abide by the Club Code of Conduct whenever I am present at club activities or competition. 3. That I have read and understood the Privacy Statement (a copy of which can be found on or in our Clubhouse) and how data will be used and shared. Signature Print Name Date
IH%20England%20Athletics%20Application%20Form%20Template%20(updated%20May%202018).docx