Joining application form - Chippenham Harriers

This application form is for those wishing to join the Chippenham Harriers and not joining the Beginners course. To enrol in the beginners course, please use the beginners membership form, found at this link: Beginners Membership Form

Title

First name

Last name

Date of birth

Sex at Birth

House number/name

Street name

Town

Postcode

Phone number

Notes (any useful information e.g transfers from another club)

Please note that there is currently a waiting list for Chippenham Harriers Youth. Please complete the form to register your interest and be added to the list.

Membership type (please use the beginner form if applying for the beginner course - found on the menu under Join)

Existing (non-Chippenham Harriers) Sports & Social Club Membership

Details of additional adult for Joint Membership:
First name

Last name

Date of birth

Phone number

Please check the boxes below to agree to the Privacy statement and UKA rules:

I am aware that my data is being passed to the Athletics Governing Bodies and will be processed in accordance with their privacy statement.

The member is aware of and agrees to be bound by the UKA rules.

Agreeing to UKA Rules and Code of Conduct

The member is aware of and agrees to be bound by the UKA Anti-Doping Rules and has agreed to sign up to the Senior Athletes Code of Conduct.

Data Protection

The club will use details you provide to contact you about your membership and other club matters, but will not pass your details on to any third parties, except for:

England Athletics – in order to register you
Chippenham Sports Club – in order to register you as a member of the Harriers section and so that you can receive your CSC membership card that gives you a discount at the bar.

When you become a member or renew your membership with Chippenham Harriers, you will automatically be registered as a member of England Athletics. We will provide England Athletics with your personal data to set up 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 .

England Athletics General Data Protection Regulation