Membership

If you want to join the club then please get in touch using the form below.

For more information or to enquire about Junior Membership please contact us Here!

Membership Form

Title
Mr Mrs Miss Ms

Surname

Forename(s)

Date of Birth

County of Birth (e.g. Warwickshire)

Address

Post Code

Telephone (Primary)

Telephone (Secondary)

Email Address

Emergency Contact (please provide a full name, contact number, full address, and their relationship to you)

Have you ever been a member of England Athletics before? If so what was your URN?

Have you ever been a member of an athletics club before? If so what was your last club's name?

Photographs are likely to be taken at events the club participates in. These may be reproduced in the club newsletter, on our website, or on our club social media pages. In accordance with our Child Protection Policy, we will not allow photographs, videos or other images of young people to be used by Sphinx AC without the consent of parents/carers.

Any photographs of me/my child may or may not be used in the club newsletter, website, or social media pages
Yes, they can be used No, they must not be used

By signing up as a senior member of Sphinx AC, you agree that you will be registered as a member of England Athletics. To do this we will provide England Athletics with your personal data which you can access via their online portal. We will not share your personal information with any other organisation.

I agree to abide by the club rules which I can access on the Sphinx AC website. I declare that I am an amateur as defined by A.A.A. law Yes

Athlete/Parent/Guardian Electronic Signature

Medical Form

Doctors Surgery Name

Doctors Address

Doctors Telephone

Do you have any health problems, illnesses or allergies that we need to be aware of:- (i.e. Asthma, Epilepsy):

Do you consider yourself to have a disability?
Yes No

If yes, what is the nature of your disability? (i.e. visually or hearing impaired, physical disability)

Please state any medical procedures prohibited by family beliefs

FORM OF CONSENT FOR MEDICAL TREATMENT (athletes under 18 only)

In the event of an emergency and the athlete being considered to be in need of medical treatment whilst in the care of Sphinx Athletics Club, I agree that the officers of the club should authorise such treatment on my behalf. I understand the above action would only be taken if I were unable to be contacted or could not be present.

Parent/Care Electronic Signature

Date