Application Type

Your Details

Emergency Contact Details

If you have any medical condition(s), injuries or concerns which you believe may cause an issue then please ensure that the coach leading your session on the day is aware. 

Payment

Bank Transfer is preferred

Bank:

Lloyds Bank plc

Sort code: 

30-63-94

Account number:

34928660

Account name:

Wymondham Athletic Club

Cheques/cash may be posted to Sue Guest, The Old Rectory, Stone Lane, Brandon Parva, NR9 4DL

Wymondham AC is run entirely by its members, none of whom receive any form of payment from the Club for their time, whether as a coach, committee member, marshal, race organiser or in any other capacity.  We therefore need plenty of help from members to keep the club functioning effectively

It is expected members will volunteer for at least one of the official WAC races in that year. These are currently the NYD 10K or Wymondham 20. As a club member, if you run in one of our events it is mandatory to provide a volunteer to help at that race.

Please also consider helping at other club events throughout the year and assisting with coaching.

Declaration: I agree to abide by the rules and Constitution of Wymondham Athletic Club (“WAC”) and the rules of those bodies regulating the sport of athletics to which I and/or WAC are affiliated. 

Save in respect of death or personal injury arising from negligence (or any other liability that may not legally be excluded or limited), I:

(a) agree that WAC will not be liable to me for any direct or indirect loss, damage, injury or death incurred or suffered by me;

(b) waive all and any claims, past, present and future, that I may have against WAC and any of its officers, committee members or coaches;

(c) waive all and any claims, past, present and future, that I may have against any WAC member involved in any activity organised by WAC or organised principally for WAC members and/or their guests;

(d) waive all and any claims, past, present and future, against any person assisting WAC or any of its members, officers or volunteers, in the planning, organising, preparation for, conduct of, or clearing up from activities (including running and social activities, whether or not involving running) organised on behalf of WAC or principally for its members arising from any WAC activity, and acknowledge that all committee members, coaches and volunteers are acting on a voluntary basis in that respect.

I agree that WAC may use the personal data that I provide to it (including sensitive personal data), whether on this form or otherwise from time to time, and pictures of me, for administrative purposes and to promote, publicise and report on WAC and athletics (including on its website and via social media and to WAC members or others) and that WAC may provide such data to its officers and members, to any insurer or prospective insurer, to any athletics club or governing or co-ordinating body (including Athletics Norfolk, England Athletics UK Athletics and other bodies associated with any of them and/or with the sport of athletics), to any other athletics club and to the organiser of any event related to athletics (including any race which I enter and/or in which I participate or with which I assist).  I further agree that for such purposes WAC may transfer my personal data outside the European Economic Area, including to the USA.

I acknowledge that if I take part in any race organised by WAC, the club may include my personal data in lists of entries and results which WAC may make publicly available on any website or by any other means.