Membership 2023 - Family - Dorchester Run RIOT

Family Membership

We know that many of our members share their love of running with their children and we would like to be able to support this at our club training sessions and runs. In order to make sure that everyone is safe and has a great time there are some conditions we need you to follow. Some of these conditions are requirements of England Athletics and some link in with our club ethos.

Please make sure you read the Junior Runners Agreement, consent is made for the named junior to run accompanied by one of the named adults only, by ticking the box at the end of the form.

Family Membership

First Adult

Membership Options *

First Adult - Title *

First Adult - Name *

First

Last

First Adult - Date of birth *

First Adult - Sex Registered at Birth *

Emergency Contact Name for First Adult *

ALL MEMBERS *- In case of an accident, incident or any kind of emergency, please give details of who you would like us to contact.

Emergency Contact Number for First Adult *

Email for First Adult *

Second Adult

Second Adult Membership Options

Second Adult - Title

Second Adult - Name

First

Last

Second Adult - Date of birth

Second Adult - Sex Registered at Birth

Emergency Contact Name for Second Adult

ALL MEMBERS *- In case of an accident, incident or any kind of emergency, please give details of who you would like us to contact.

Emergency Contact Number for Second Adult

Email for Second Adult *

First Child

First Child - Name *

First

Last

First Child - Date of birth *

First Child - Sex Registered at Birth *

Second Child

Second Child - Name

First

Last

Second Child - Date of birth

Second Child - Sex Registered at Birth

Family Email *

Confirm Email

Family Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Family Contact Telephone Number *

Checkboxes *

I agree to sharing my data with England Athletics
I confirm that I have read and understood the privacy policy and how data will be used and shared. I am willing to abide by the club code of conduct/rules, Constitution, England Athletics Code of Conduct and social media policy (available on the RIOT Chat group page on Facebook)
I understand I am responsible for my own health and fitness.
I have read and understood and agreed with the RIOT Junior Runners Agreement.

It will be assumed that all adult club members have consented to the use and publication of their images on weekly club activities and club events unless there is reason to believe they would refuse consent or lack the capacity to give it. Please see the safeguarding policy for further details and contact RIOT directly if any concerns. PLEASE NOTE: When you become a member of Dorchester RIOT 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). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, among 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]

newsletter check

We will use your e-mail address to notify you of renewal and to send membership mailings about events and discounts using MailChimp. If you wish to receive correspondence from us please check this box

Total

£ 0.00

Membership 2023 – Family

Family Membership