2nd Claim Membership

As of 2018, we now offer 2nd claim membership. This is for members of an existing club wishing to also join Team Anstey as a 2nd claim member. The price of 2nd claim membership follows a pro-rata system as seen here.

Team Anstey 2nd Claim Membership Form

Affiliated to the UKA, England Athletics
Est.October 2014

* Indicates required field

Title *

Name *

First

Last

Sex *

Male Female

Date of Birth - DD/MM/YYYY *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please identify which club is your first claim club. *

What is your URN? *

Membership can be purchased from the bottom of the page via the shop.

You can also pay by cash, cheque or balance transfer into:
Account Number: 41047435 Sort Code: 560055

Please Confirm *

I agree to abide by the rules of the club as stated within the club constitution on the team website located at http://www.teamanstey.co.uk

Confirm if appropriate *

For members aged 15-18 years of age you, as their parent or legal guardian, are confirming that you give consent to your child being allowed to have their picture taken and uploaded online.

Please Confirm *

Team Anstey is a not for profit organization and the group leaders are willing to share their experience and enjoyment of the sport with you.

Please Confirm *

I understand that participation in this group is entirely at my own risk and I should consult a doctor if suffering from any conditions or injuries that might impact my health

Next of Kin: Name *

First

Last

Next of Kin: Contact Number *

Any medical conditions we should be aware of. If none please state none *

Personal Data

When you become a member of or renew your membership with Team Anstey Amblers and Runners 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). EA 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

Team Anstey Amblers and Runners will collect and retain your personal data (name, date of birth, address, email address, phone number, emergency contact name/phone number, any relevant medical condition, EA number). This information will not be shared with any outside organisation except where it is necessary for governing bodies, race organisations or leagues which need such information for entering events or producing results.

Your data will be shared with the club’s coaches (CIRF’S) and run leaders (LIRF’s) in order to plan training/racing. The LIRF’s will have access to your next of kin data during any team runs in case of emergency. Your data will also be used to send out important club information. The data held by the club will be kept for up to 2 years after you have resigned from the club or until you request a change of club at which time it will be destroyed safely. Submission of this membership/renewal form will act as your consent to the sharing of your data as described above. Your data will not be shared with any other organisation or company.

Name *

Date *

Submit

2nd Claim Membership

£12.00

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