Join the club — Morpeth Harriers & AC

Athlete details

Title First name * Last name *

Date of birth * Place of birth * Sex *

Address line 1 * Address line 2

Town / city * Postcode *

Email * Mobile * Landline

Emergency contact

First name * Last name *

Relationship * Mobile *

Parent / carer details

Complete this section if the applicant is under 18.

First name Last name

Relationship Phone Email

Athletics background

New to the sport Transferring from another club

Previous club England Athletics number

Claim status First claim (this is my main club) Second claim

First-claim club (if second claim)

Medical & accessibility Medical conditions Disability / accessibility needs

Consents

Please read these documents before agreeing:

I commit to paying my club subscriptions and to observing the Code of Conduct for Members. * (Parent / carer) I commit to observing the Code of Conduct for Parents / Carers. Required for applicants under 16. I will aim to compete regularly for the club (under-17 athletes — optional). I agree that the club may share my personal data for internal communications and externally for competition purposes, in line with the club's Data Protection Policy. * I do not wish to be registered with England Athletics. By default the club registers you with England Athletics so you can compete in club teams. Tick this only if you don't want to be registered.

One last thing How did you hear about us? (optional)

Your details are used only to process your membership. See our privacy policy.