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Almost Athletes Membership Application Form

Membership Year

Please note:  Almost Athletes club contributes £15 EA affiliation fee from each £28 membership fee to England Athletics. The 2021-2022 year will run from 1st April 2021 until the 31st March 2022. Applications for NEW MEMBERS are invited and their membership year will run from now to 31st March 2022.

New Member Application

Applying for membership has two stages ... Payment and Application Form ... please do both WITHIN A PERIOD OF 24 HOURS!

Payment

Electronic payment:

Application Form

Before filling in an application form, please click this link to open and read the Privacy statement & Communication preferences.

Almost Athletes offers two options for you to supply your personal details as listed below.

Almost Athletes Membership Form

Title*
First name*
Surname*
Address*
Postcode*
Home Telephone Number
Mobile Telephone Number
Date of Birth*
     
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Gender*
Email address*
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Annual Membership for NEW Members is from Now to 31 March 2022
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Please detail below any disability you have/or any additional support you may require from our Club coaches.
If there is no information please write 'None'.
Additional support*

Please detail below any important medical information that our coaches should be aware (e.g. epilpsy, asthma, diabetes, allergies, etc.)
If there is no information please write 'None'.
Medical information*
Please check box below to show that your consent to your special category personal data provided in the "Additional Support" and "Medical Information" sections above being shared with coaches for the purposes of my safe participation in Club activity. This data will not be shared or processed for any other purpose.
 
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Emergency Contact One (Name):
Emergency Contact One (Phone number):
Emergency Contact Two (Name):
Emergency Contact Two (Phone number):
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PRIVACY AND DATA SHARING DECLARATION:
Please read Club Privacy and Data Sharing notes HERE
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CLAIMS AND LIABILITY DECLARATION: I understand that running can be a strenuous activity, and that I should not participate unless I am physically able to do so. I accept all risks associated with running, including, but not limited to: the effects of weather, traffic, road or terrain conditions. I hereby waive and release the Almost Athletes Running Club from all claims and liabilities of any kind arising from my participation within the club.
Claims and liability Declaration Checkbox*
 
Payment Method*