Brecon Athletic Club Membership Form 2024 - 2025
Membership form to join Brecon Athletic Club.  To be filled in by athlete or if athlete is under 18 by parent or guardian.

When you become a member of or renew your membership with Brecon AC you will automatically be recorded on the Welsh Athletics website. We will provide Welsh Athletics with your personal data which they will use to enable access to an online portal for you (called myATHLETICS). Welsh Athletics 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.

Those members who pay the Welsh Athletics affiliation fee are covered for third party indemnity. Personal effects and accidents are NOT covered but may be covered under your household “all risks” policy.
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Email *
Athlete first name
Athlete last name *
Address *
Postcode *
Phone number
Mobile number *
Or Parent / Guardian's
Emergency contact name *
Emergency contact number
 *
Date of birth
MM
/
DD
/
YYYY
Gender *
School / College
Ethnicity
This information may be used to support grant applications where we are asked to provide details of the diversity of our membership.  Accordingly it will only be used on an aggregate basis for the club.
Welsh athletics eligibility *
Required
Any medical conditions or special needs that the club needs to be aware of to enable us to support the athlete in training or competition?
Recommended by a current member
Which membership category are you applying for? 
 *
Age on 1st September

U9 and Senior Social do not include Welsh Athletics affiliation fee
Is this membership part of a family (3 or more) membership?
If Yes please fill in a separate form for each person
Clear selection
Are you a current or previous member of BAC?  *
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