Membership Renewal

Athlete Name (required)

Address (required)

Date of Birth

Age

Gender
MaleFemale

Home Telephone (required)

Mobile Telephone (required)

Main Contact Email (required)

Additional Email (optional)

Scottish Athletics Number (renewals only)

Name of School currently attending (if applicable) -

Emergency Contact Details

Name of Contact

Relationship to Athlete

Emergency Contact No

Any Medical Condition (that you feel we should know about) -

Any Medication (that you feel we should know about)

In the event of emergency treatment being required are there any restrictions that you wish to impose?

Declaration

I understand that all coaches, volunteers and officials are vetted under the Child Protection Policy of Scottish Athletics. By submitting this form I consent to the following:-

I/my child agree(s) to abide by the Codes of Conduct and Ethics included in the Welcome Pack and as detailed on the Club website www.orkneyathleticclub.co.uk.I consider myself/my child to be physically fit and capable of full participation in this activity.I give permission for me/my child to take part in coaching sessions and events, including travel.I give permission for photographs/video to be taken of me/my child during sessions, to be used solely for the purpose of the Club, Club website, publicity or promotional purposes.I give permission for me/my child to receive First Aid treatment and care as deemed appropriate.


  

  • Subscribe to our Newsletter

  • Categories

  • Archives

  • Our Sponsors

  • Meta

site designed in Orkney by Westray Digital Art (web design)