YOAC Membership Form

YOAC Membership Form
Welcome to the Yeovil Olympiads Athletics Club. Thank you for choosing our club, we look forward to welcoming you and your family.

Please complete the following questions in full. If you have any queries or need assistance please contact membership@yeovilolympiads.com

NOTE: Payment will be requested by email following receipt of the form. You do not need to make any payment as part of this initial application.
Member Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City/TownCounty

Post Code
Contact Phone Number

Area CodePhone Number
Mobile Number*
(16 and over only)Format: 00000000000.
Email*

Confirmation EmailParent's email if you are under 18
Date of Birth*

DayMonthYear
Date
County of Birth
FemaleMale
FemaleMaleTransgenderNon BinaryPrefer not to sayOther
SprintsLong DistanceMiddle DistanceSteeplechaseHurdlesLong/Triple JumpHigh JumpPole VaultThrows (Javelin, discus, hammer, shot)Combined EventsOther
YesNo
Name of previous club
YesNo
Do you have a Para Athletics Classification?
Junior (for all under 18s)Full time student over 18Senior (over 18s)Over 60sAssociate (non-competitive)Second ClaimHigher ClaimCoach/Volunteer/Official
Name of School/College/University attended
Financial Support

Support is available to enable people to participate in athletics to their full ability, who may otherwise be restricted due to financial constraints.

If you would like more information or need financial assistance please visit our website or email treasurer@yeovilolympiads.com for more information
Medical Information
YesNo
If yes, provide details below*
Drug Testing
Athletes should be aware that UK Athletics rules provide for possible random drug testing in all competitions. It is a condition of entry into events that athletes agree to subject themselves to these rules.
UK Athletics provides guidelines for the registration of athletes who use inhalers. Information is available on the UK Athletics website.
Consent Declaration
This consent declaration must be completed by a Parent or Guardian on behalf
of all athletes under 18 years of age.

I am the parent/guardian of the above named athlete.
I agree to my child becoming a member of YOAC. I have read the Health and Safety information sheet and agree to my child taking part in athletics training sessions and/or competitions at home and away facilities. I give my consent for the club to keep my and my child’s details on a database and sharing this with coaches and team managers. I have read the parents’ and athletes’ Codes of Conduct and I acknowledge the need for my child to behave responsibly and will encourage them to do so and to be a good ambassador for YOAC.
Medical Consent Declaration
It may be essential at some time for a Club Coach, Team Manager, or a
travelling adult accompanying your child to have the necessary authority to
obtain any urgent treatment which may be required whilst your child is
representing the Club in competition or during training.

I hereby give permission for the YOAC Coach, Team Manager or other
travelling adult to give the immediate necessary authority on my behalf for any
emergency dental, medical or surgical treatment (including anaesthetic and
blood transfusion) as recommended by the competent medical authorities
present, when it would be contrary to my child’s interest, in the doctor’s
medical opinion, for any delay to be incurred seeking my personal consent.
Photography Declaration
Yeovil Olympiads AC recognises the need to ensure the welfare and safety of
all young athletes in sport. In accordance with our Child Protection Policy, we
will endeavour to prevent photographs, video or other images of young people
being taken without the consent of the athletes and their parents/guardians.
Subject to the athlete and parent consenting:
Club representatives may wish to photograph or video athletes during
competitions or training for club publicity purposes. Coaches may wish to
photograph or video athletes during training or competitions to help assist
them in developing their athletic techniques. Photographs taken may be
posted on Social Media or the YOAC website but will be removed on request.
Parent/Guardian or main carer name*

First NameLast Name
Address (if different to above)*

Street Address

Street Address Line 2

CityCounty

Post Code
Emergency Contact

First NameLast Name
Emergency Contact Number (if different to above)

Area CodePhone Number
Volunteering
Our club is run by volunteers, and we are always looking for new people to come and support club activity. We provide training and support (including financial) for all new volunteers. If you or a parent, grandparent, relation are interested in volunteering at our club, please let us know by completing the information below and we will be in touch about next steps.
YesNo
Volunteer Name

First NameLast Name
CoachingOfficiatingTeam ManagerClub CommitteeGeneral HelperHome Events & CompetitionMarketing & CommunicationsDigital (social media/website)Unsure but want to do something
Club Privacy Statement & Communication Preferences
Yeovil Olympiads AC take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation.

Please read the full privacy notice carefully to see how we will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.
Data Sharing with England Athletics
When you become a member of or renew your membership with Yeovil Olympiads AC you will automatically be registered as a member of England Athletics. We will provide England Athletics with your personal data which they will use to enable access to an online portal for you (called myAthletics). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, amongst other things, allows you to set and amend your privacy settings). It is vital, therefore, that a valid email address is given, so that you can ensure that your data is correct and so that you can set your own privacy settings.

If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact dataprotection@englandathletics.org
Declaration

I have read the athletes' code of conduct, risks/responsibilities and general information and agree to abide by all club rules and policies
Signature*
Should be Empty:

YOAC Membership Form

Medical Information

Volunteering

Club Privacy Statement & Communication Preferences

Data Sharing with England Athletics