Membership Renewal Form

Team Anstey Membership Renewal Form

Affiliated to the UKA, England Athletics
Est.October 2014

* Indicates required field

Name *

First

Last

Please contact the club if your next of kin / medical information has changed *

I have made sure the club is aware of any changes to my next of kin or medical information

Please check your England Athletics details before renewing *

I have logged into my England Athletics Portal, agreed to the code of conduct and checked that my details are correct

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 [email protected]

Team Anstey Amblers and Runners will collect and retain your personal data (name, date of birth, address, email address, phone number, emergency contact name and 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

Senior Membership Renewal

£35.00

Annual senior membership for existing members

Shop

Committee Member / LIRF Membership

£19.00

Discounted membership for committee members and LIRFs

Shop