Kimberworth Striders Membership Application

Welcome to Kimberworth Striders Running Club. We are an athletic/running club open to athletes of any ability from 18 years of age.

Membership cost: £28 per year (April to March)

 

Chair: Patrick Rooney

Secretary: Lauren Corcoran

Treasurer: Janet Clark

Captains: Rebecca Stocks and Kieron Cawkwell

Beginners: Janet Clark

 

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First name
Surname
Address
Postal code
Email address
Telephone
Date of birth (dd/mm/yyyy)
Preferred events
Please detail below any disability that you may have or any additional support that you may require from the club and/or the run leaders.
Please detail below any important medical information that our run leaders may need to be aware of (eg: asthma, epilepsy, diabetes, allergies etc). Please do not leave blank, if there is nothing then please write "none".
Emergency contact name:
Emergency contact telephone number:

Kimberworth Striders take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation.

 

Please read the full privacy notice (available on the Kimberworth Striders  web page) carefully to see how The Club will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.

 

By returning this completed form, I confirm that I have read and understood the privacy statement and how data will be used and shared and am willing to abide by the club code of conduct for athletes. Please type name and date below.

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