Senior Membership - Rothwell Harriers & A.C

Part 1 - Personal Details

New Member (1st April 2023)
Existing Member Renewal

Title

Surname:

Forename:

Telephone Number:

Mobile Number:

Address:

Town / City:

Postcode:

Email Address:

DOB:

Part 2 - 1st/2nd Claim Clubs

Rothwell Harriers & A.C is:

My 1st Claim Club
My 2nd Claim Club

If Rothwell Harriers & A.C is your 2nd claim club, please give details of your 1st claim club below.

My 1st Claim Club is:

I have been a member here since:

Part 3 - Resignation from Previous Club/s

Are you currently resigning or have you recently (within last 3 years) left / resigned from a running club

Yes
No

Club Name:

Resignation Date:

Part 4 - Fees

Fees payable by 1st April each year. See below if joining through the year.

Senior (£30 or other)
Senior (Over 65, 2nd claim, unemployed, full time education, student) Full or Part Year (£19)

Note £16 OF THIS IS PAID TO ENGLAND ATHLETICS

New Members Pro-Rata (At full rate) Subject to minimum fee of £30: March to June £30, July to September £30, October to December £30, January to Feburary £30.

By ticking this box, I confirm I have read and agree to abide by the club code of conduct and the self declaration statement. To view the Code of Conduct click here . To view the self declaration statement click here

By ticking this box, I understand that I need to make Welfare Officer/ Run Leaders aware of any medical condition or injury that may affect me when training and that I run at my own risk. (all information will be kept STRICTLY CONFIDENTIAL)

By ticking this box, I consent to the information I have given, being used by Rothwell Harriers & A.C and shared with England Athletics as described in the Data Protection Statement . I confirm I am eligible to compete under UK Athletics Rules.

Rothwell Harriers & A.C - CODE OF CONDUCT

Positioning Statement: As a growing club with a thriving junior and senior membership this code of conduct sets out the standards of behaviour expected from all members.

As a member of Rothwell Harriers & A.C:

We are all here to run and reach our own personal goals which may be different from member to member. It is important therefore we all respect the rights, dignity and worth of every member, club official, individuals connected to the club and treat everyone equally and respectfully

Act with respect, dignity, display courtesy and good manners towards others at all times when representing or supporting the club at races and other events

Refrain from swearing/abusive language, disrespectful and inappropriate behaviour at all times during club nights and external events.

Where the code of conduct has been breached the club will appoint a member of the committee to investigate and make recommendations which could include:

documented warning
Suspension from the club whilst further investigations take place
Removal from the club if the issue is serious enough in itself or in escalation from previous incidents
Other sanction the investigating officer deems relevant and is accepted by the committee

Where the club investigates an issue under the code of conduct, the relevant person will always have the right of representation to the investigating officer in writing and may appeal any decision to England Athletics through their appeal process

Always inform your club welfare officers and committee member of any incidents of inappropriate, disrespectful or abusive language/behaviour. NEVER approach the situation or take matters into your hands, always report to the welfare team or committee. Allow the club to then make necessary investigations and actions.

Always respect the club social media links. The Club official social media links are member forums and thus shouldn�t be mistreated or abused. Any such behaviour or language by any member will result in a temporary club media ban and will result in a full investigation by the committee and welfare team

Please respect instructions and safety procedures given by club officials and run leaders. Club Officials and Leaders are here to protect and safe guard all members.

In addition to this, members are expected to adhere to the following guidelines for safe participation in running and athletics:

Be prepared for your sport: wear appropriate clothing to suit the situation reducing risk to yourself and others e.g.- dark nights- Hi-Viz, jackets, warm clothing and accessories. Always have water available and hydrate before taking part in all club sessions/events.

Do not take any banned or prohibited substances. If you are ever in any doubt about a sports product, medicine or supplement please speak to our club drug advisor- Marc Randall who will advise and refer you to the WADA Guidelines.

Avoid destructive behaviour and leave venues/races/vehicles and equipment as you find them.

Application for Senior Membership 2023/24

Part 1 - Personal Details

Part 2 - 1st/2nd Claim Clubs

Rothwell Harriers & A.C is:

If Rothwell Harriers & A.C is your 2nd claim club, please give details of your 1st claim club below.

Part 3 - Resignation from Previous Club/s

Are you currently resigning or have you recently (within last 3 years) left / resigned from a running club

Part 4 - Fees

Fees payable by 1st April each year. See below if joining through the year.

Note £16 OF THIS IS PAID TO ENGLAND ATHLETICS

By ticking this box, I confirm I have read and agree to abide by the club code of conduct and the self declaration statement. To view the Code of Conduct click here . To view the self declaration statement click here

By ticking this box, I understand that I need to make Welfare Officer/ Run Leaders aware of any medical condition or injury that may affect me when training and that I run at my own risk. (all information will be kept STRICTLY CONFIDENTIAL)

By ticking this box, I consent to the information I have given, being used by Rothwell Harriers & A.C and shared with England Athletics as described in the Data Protection Statement . I confirm I am eligible to compete under UK Athletics Rules.

Rothwell Harriers & A.C - Data Protection

How is your data used by the club

Rothwell Harriers & A.C - CODE OF CONDUCT

As a member of Rothwell Harriers & A.C:

Application for Senior Membership 2023/24

Part 1 - Personal Details

Part 2 - 1st/2nd Claim Clubs

Rothwell Harriers & A.C is:

If Rothwell Harriers & A.C is your 2nd claim club, please give details of your 1st claim club below.

Part 3 - Resignation from Previous Club/s

Are you currently resigning or have you recently (within last 3 years) left / resigned from a running club

Part 4 - Fees

Fees payable by 1st April each year. See below if joining through the year.

Note £16 OF THIS IS PAID TO ENGLAND ATHLETICS

By ticking this box, I confirm I have read and agree to abide by the club code of conduct and the self declaration statement. To view the Code of Conduct click here . To view the self declaration statement click here

By ticking this box, I understand that I need to make Welfare Officer/ Run Leaders aware of any medical condition or injury that may affect me when training and that I run at my own risk. (all information will be kept STRICTLY CONFIDENTIAL)

By ticking this box, I consent to the information I have given, being used by Rothwell Harriers & A.C and shared with England Athletics as described in the Data Protection Statement here. I confirm I am eligible to compete under UK Athletics Rules.

Rothwell Harriers & A.C - Data Protection

How is your data used by the club

Rothwell Harriers & A.C - CODE OF CONDUCT

As a member of Rothwell Harriers & A.C:

By ticking this box, I consent to the information I have given, being used by Rothwell Harriers & A.C and shared with England Athletics as described in the Data Protection Statement . I confirm I am eligible to compete under UK Athletics Rules.