BADRAT Runners
Membership Form - 2022/23

Welcome to BADRAT Runners membership. We are a running club open to runners of all abilities. 
To ensure that we have the correct contact details for you, please fill out this form and return via email to membership@badrat.club should you have any issues filling out this form, please let us know at the same email address. Prior to completing, please take time to review our Club Privacy Policy on our website. 
*** Regrettably for legal reasons we are unable to accept anyone under the age of 18 and reserve the right to challenge anyone who appears under the age of 18 to provide proof of age.
Section A : Runner Details
Title *		
First name *		
Surname *		
Date of birth (dd/mm/yyyy)*		
Email **		
Phone Number *		
Address *		
Post Code *		

* denotes a mandatory field
** for England Athletics membership an email is required so EA can invite you to access your myAthletics portal to complete the registration process with them. England Athletics will not market to you without your express consent.

Section B: Additional Support
Please detail below any disability you have and/or any additional support you may require from our run leads. 

Section C: Medical Information
Please detail below any important medical information that our run leads should be aware of (e.g. epilepsy, asthma, diabetes, allergies etc.) 

Please do not leave blank – if there is no information please write ‘None’

I consent to my special category personal data provided in sections B and C to be shared with run leads 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. 
Please place an ‘X’ in the relevant box below	
*  I consent		
* I do not consent		

I understand it is the runner’s responsibility to ensure medical fitness to run and to have any appropriate medication (e.g. inhalers) with me. I understand that I participate with the club at my own risk and that no person(s) or organisation(s) will be held responsible for any accident, injury, or loss to myself.
Please place an ‘X’ in the relevant box below	
*  I accept the responsibility		
* I do not accept the responsibility		

Section D: Emergency Contact Details
Please enter the details below to indicate the person who should be contacted in the event of an incident/accident.
Emergency contact name:		
Emergency contact number:		

Section E: Club Privacy Statement and Communications Preferences
BADRAT Runners (The Club) take the protection of 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 club's privacy policy 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. 	

Section F: England Athletics Registration
As an England Athletics (EA) affiliated club, BADRAT Runners utilises the England Athletics ‘club management portal to maintain our runners' club membership details - each member being added as a ‘social athlete’. Additionally there is an option to become a ‘registered/competitive athlete’ of England Athletics (this will be a requirement should you ever wish to compete for the club in competition Under UKA Rules) and offers its own benefits to members (Benefits of Athlete Registration - Athletics & Running (englandathletics.org)). 

If you tick the box below, we will then process your EA membership as a registered athlete. EA membership is a separate fee of £16 per annum (2022/23)

Should you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact dataprotection@englandathletics.org.

Please place an ‘X’ adjacent to your choice below	
* I want to join as an EA Registered Athlete  		
* I do not want to join as an EA Registered Athlete		

Section G: Payment
Basic payment is for BADRAT club member renewal only, should you wish to join or renew your England Athletics membership please submit payment for both BADRAT and EA fees.
Joining period	Joining Fee 
(BADRAT membership)	Joining Fee 
(BADRAT + EA memberships)	
April 1 to September 30	£20.00 	£36.00 	
October 1 to March 31	£10.00 	£26.00 	

Please note: Your membership will only be valid and membership number advised once the fee has been paid. Membership will then renew at £20.00/year thereafter from April 1st.

Payment to be made by bank transfer, with the reference as your full name.

●	Account Name: Badrat Runners
●	Account No: 61544977
●	Sort code: 40-13-25
●	Reference: e.g. JOEBLOGGS

Section G: Runner Agreement Declaration
I hereby apply for membership of BADRAT Runners Club & agree to make payment of the annual subscription. I declare that I am an amateur according to the UK Athletics definition and will abide by the rules and constitution of the club. Details will be held on an electronic database by BADRAT Runners in accordance with the club's privacy policy. 

Please place an ‘X’ adjacent to your declaration below.	
Name		Date		
* I accept the declaration 		

Section H: How did you hear about us?
…and lastly, we’re always keen to know how you found/heard of BADRAT Runners and would be very grateful if you could let us know. Thanks