HRC - Membership Form 2020/2021

Tri-Logic Cornwall Membership Form
Title*
Forename (s)*
Surname*
Address (Line 1)*
Address (Line 2)*
Address (Line 3)
Post Code*
Date of Birth*

DayMonthYear
Mobile Telephone Number*
Home Telephone Number
Email Address*
Emergency Contact
Name*
Relationship*
Contact Number*
Any significant illness or previous injuries*

NoYes
If Yes please provide further information (Include allergies, medication, injuries, surgery etc.).
The information you provide here will be available to club coaches and the membership secretary.
Please confirm if you agree to photos and videos of you participating in club activities and competitions, being used for club promotional and reporting purposes.*

NoYes
SWIM ENTRY REQUIREMENT: Tri-Logic Cornwall offers pool sessions during the winter months, these sessions are led by British Triathlon coaches who enable participants to grow and develop their skills. To attend the pool session we require that you can swim 100 meters non stop. For open water sessions, we require that you are able to comfortably swim 400m continuous front crawl before attending.*

Understood
We recommend that you join British Triathlon www.britishtriathlon.org or British Cycling www.britishcycling.org.uk to cover your public liability in the event that something should happen to you during a club ride or race.*

Understood
YOUR INFORMATION: will be held by Tri-Logic Cornwall to process your membership. The information you provide will be shared with Tri-Logic coaches, ride leaders or relevant members, as required prior to training, or to the emergency services in the event of an accident or incident requiring medical assistance or intervention. It will be held by the membership secretary for the period of your membership, plus an additional two years for auditing purposes. We will take reasonable steps to ensure that data is kept in a secure environment and destroyed securely after the stated period above. For more information please view the club's full GDPR policy available on the website. ENGLAND ATHLETICS: When you become a member of or renew your membership with Tri-logic Cornwall you can also choose to be registered as a member of England Athletics (you will have to register with England Athletics if you ever compete for the club in road running). If you tick the box below 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). If you have any questions about the continuing privacy of your data please contact: dataprotection@englandathlethics.org. Please tick if you permit the club to pass on your details to English Athletics.*

AgreeDisagree
CODE OF CONDUCT: As an athlete I will respect the rights and dignity of everyone in Tri Logic and treat everyone equally. I will uphold the same values of sportsmanship at all times, as I do when engaged in Triathlon. I will cooperate with anyone involved in sport in the best interests of other athletes, myself and the coaches. I will consistently promote positive aspects of the sport such as fair play and never condone rule violations or the use of banned or inappropriate substances. I will be responsible for my needs including being organised, having the right kit for the activity and the weather conditions and being on time. I will inform my coach of any other coaching I am seeking or receiving. I will always thank the coaches and officials who enable me to participate in training and racing. When participating in any sporting activities under Tri Logic, I will act with dignity and display courtesy and good manners towards others, other athletes, officials and members of the public. I will not swear or use abusive language and bad behaviour including acts of violence, bullying, harassment, physical and sexual abuse. I will respect venues I use and will leave them as I find them. I will never carry or consume alcohol or illegal substances. I will never carry items that could be dangerous to myself or others. To ensure safe participation in Triathlon, I will notify a club official or coach if I have to leave the session/activity. I will never give private information unrelated to athletics to anyone. I will maintain boundaries between friendship and intimacy with a coach or official. I will follow session plans as directed by club coaches safely & with consideration for other athletes. I will report any accidental injury, distress, misunderstanding or misinterpretation to the Club Welfare officer as soon as possible.I will report any suspected misconduct by coaches or others to the club welfare officer as soon as possible.*

AgreeDisagree
Membership *

Standard Membership £20.00 Per Annum (April 1st - March 31st)Membership with England Athletics Affiliation £40.00 Per Annum (April 1st - March 31st)End of Year Membership £10.00 (For members who join between Jan - March 31st)
Payment Method*

Bank TransferCash
Please pay via BACS using the following details: Sort code: 30-98-76 Account Number: 01586157 – Tri-Logic Cornwall

please use reference ‘membership’ when paying online. Or please pass cash to a committee member.
DECLARATION - Signature of athlete:*
Full Name*
Date*
Should be Empty:

Tri-Logic Cornwall Membership Form

Please pay via BACS using the following details: Sort code: 30-98-76 Account Number: 01586157 – Tri-Logic Cornwall