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Junior Registration Form 2008-9
1. Your details
Stage 1 of 2
Your details
Payment
Membership is open to all groups of the community
Name
Date of birth
Address
Postcode
Tel (Home)
Tel (Mobile)
Sporting Information
To assist our coaches, please outline any previous participation in running/athletics. Details could include type (e.g. track or cross country), typical distances, and standards reached.
Annual membership / registration fees
Cost
Junior Member
£10*
*This includes £5 affiliation to England Athletics, payment of which will give you 1st
claim status of the club.
Medical information
Please detail below any important medical information or disabilities that our coaches/ coordinators should be aware of (e.g. epilepsy, asthma, diabetes etc.)
Emergency Contact details
Please indicate person(s) who should be contacted in case of an accident/incident:
Contact name
Emergency contact number
To be completed by Parent/Guardian:
I accept the below club terms and conditions
By completed form, I agree to the child in my care (above) taking part in the activities of the club. I/we agree to abide by the rules of the Club and agree that neither the Club nor any of its officers shall be responsible for any claim relating to accident, injury, damage, or loss sustained by me/us during any Club activity. I consent to Wreake Runners occasionally photographing or videoing the child in my care (above) for promotional or training purposes.
Please tick box if you
DO NOT
wish photographs or information to be used on the internet or other media.
Name of Parent/Guardian
Parents email address
Payment
How will you pay?
I will pay online now via PayPal
I will send a cheque
Code of Conduct
Wreake Runners is fully committed to safeguarding and promoting the well being of all its members. The club believes that it is important that members, coaches, administrators and parents associated with the club should, at all times, show respect and understanding for the safety and welfare of others. Therefore, members are encouraged to be open at all times and to share any concerns or complaints that they may have about any aspect of the club with the relevant club official.
As a member of Wreake Runners you are expected to abide by the following junior code of conduct:
All members must compete within the rules and respect officials and their decisions.
All members must respect the rights, dignity and worth of all participants regardless of gender, ability, cultural background or religion.
Members must wear suitable kit.
Members must pay any fees for membership or events promptly.
Child Protection
Wreake Runners
recognises the need to ensure the welfare and safety of all young people in sport.
In accordance with our child protection policy we will not take photographs, video or other images of young people without the consent of parents/guardians. The club will ensure only the appropriate use of such images (primarily to record events and the achievements of our junior section) by following the guidance contained in the child protection policy (copy available from Club Secretary).
run@wreakerunners.co.uk
Saturday 10:30 - 12:00
Wreake Runners based in
Syston, Leicestershire
Wreake Runners Running Club - © Copyright 2009. All rights reserved.
