Join Gnosall Globetrotters 2nd Claim Membership - Gnosall Globetrotters

Join Gnosall Globetrotters - 2nd Claim Membership Application Form

Name

Address

Post Code

Date Of Birth

Home Telephone Number

Mobile Number

Please Confirm Membership Type

EA affiliated membership (2nd Claim - Choose this option if you are already a member of another club) - £10.00

EA Number

1st Claim Club

Emergency Contact Details

Any medical conditions we should know about?

Special Consent

I consent to my special category personal data provided above to be shared with club officials for the purposes of the delivery of my safe participation in club activity. This data will not be shared or processed for any other purpose.

Declaration

I wish to become a member of Gnosall Globetrotters Running Club. I declare that I am an amateur, according to the definition of the UKA. I agree to abide by the constitution, rules and code of conduct governing the Club and UKA. I accept that the Club retains the right to refuse or rescind membership should these stipulations be broken. I certify that I am fit to run as a member of the Club in its events. I agree that the organisers, groups, leaders, management committee members or any other members of the Club will in no way be held responsible for any injury, loss, or illness incurred to my person as a result of any Club activity. I accept that my personal details will be used in accordance with the Club's Data Protection Policy and the Privacy Notice. Please note that, for future membership years, a signed form may not be required, and the club may rely on this dated signature if payment of your subscription is received, unless written notice to the contrary is supplied.