Beyond 365 Membership Form - Team Bath Athletic Club

TBAC Reference Number *

Found in your renewal email.

First Name

Last Name

Email *

Email

Confirm Email

Email 2 *

Email

Confirm Email

If you include 2 email addresses all messages from the club will be sent to both

Address Line 1 *

Address Line 2

Address Line 3

Town *

Postcode *

County

Home Phone *

Mobile Phone

Date of Birth *

Gender *

Male
Female

Nationality *

Required for UK Athletics Registration

Session Categories *

Tuesdays 6:45pm - 8:00pm

Membership

Competitions

Will compete

All athletes who wish to enter competitions will need a UKA number. The UK Athletics Affiliation Fee of £15 is paid annually by the Club to UK Athletics on your behalf. If you wish the applicant to compete please tick this box INSERT BOX and the additional £15.00 will be added to your 365 term cost.
You will receive registration details from them together with your UKA number. 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 personal data when it is shared with England Athletics, please contact dataprotection@englandathletics.org. We will also provide your name and date of birth to the Sports Training Village for your access card.

Payment Instructions

Total Cost (11) *

I will pay £125.00

Total Cost (12) *

I will pay £140.00

Payment by BACS *

I will pay by BACS

Bank HSBC Account 92647397 Sort Code 40-09-19 Reference TBAC Reference Number e.g. TBAC0123

Payment *

I will contact Lisa to discuss payment options

admin@teambathac.org

Gift Aid Declaration

I confirm I have paid or will pay an amount of lncome Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

Please notify Team Bath Athletic Club if you: Want to cancel this declaration; or Change your name or home address; or No longer pay sufficient tax on your income and/or capital gains.

Medical & Emergency Information

Medical

Please give details of any relevant medical conditions that officials/coaches of the club should be aware of

Emergency Contact *

In case we need to contact someone when you are training with us. Please include at least one name and phone number.

Parent or Guardian *

First

Last

Confirmation by Parent/Guardian *

I confirm the details above are correct

Photographic Permission *

I give permission for photographs including the applicant to be used in publicity material
I DO NOT give permission for photographs including the applicant to be used in publicity material

TBAC would like to use topical photographs for publicity and the website. Please indicate if you would be happy for photographs in which you feature to be used for this purpose.

Communication

I would like to hear about Team Bath Athletic Club competitions and events

Membership

Payment Instructions

Medical & Emergency Information

Email General Enquiries

Email Editor Bath Plug – TBAC’s Weekly Magazine

Sports Training Village

Affiliated Club