Harwich Runners Junior Membership Application.

Our membership year runs from April to March therefore the amount new members pay varies depending on the time of year.

Please fill in the following form

Parent / Guardian details

Title
First Name - one word a-z only, no hyphens Required
Second Name - one word a-z only, no hyphens Required
Email Address Required
Full Address including postcode Required
Home Phone Required
Mobile Phone Required

Additional Emergency Contact Details (optional)

Emergency Contact Name - Number -

Junior Members Details

Junior Members First Name - one word a-z only, no hyphens Required
Junior Members Second Name - one word a-z only, no hyphens Required
Junior Members Date of Birth - dd/mm/yy

Junior Members Medical Details

Please indicate if your child has any medical conditions that the club should be made aware of. For example: diabetic, asthmatic, aspergers, autism, any allergies etc. If none please write 'NONE'

I (parent/guardian) understand that photographs may be taken of my child to publicise races and running events and that these pictures may appear on the Harwich Runners Website, Facebook Page or in the local newspaper.

Under the new General Data Protection Regulation (GDPR) we need your consent to store and use your personal information to share among committee members and to use for race information (x-country races, Essex relays, news reports, pictures, EA affiliation etc) If you have further questions, please don't hesitate to ask. Your clicking next is acceptance your information will be used in this way.

Junior code of conduct, please read these with your child