Membership Form - Team Bath Athletic Club

Type of Application *

UKA Number

If you don't know your UKA URN you can look it up at https://myathletics.englandathletics.org/licencecheck/

TBAC Reference *

e.g. TBAC1234

First Name *

Last Name *

E-mail *

Email

Confirm Email

E-mail 2

Email

Confirm Email

If 2 emails are included then emails from the club will be sent to both.

Email Preferences

Team Bath Athletic Club will use your e-mail address to send you essential Membership and other Information necessary for the management of your membership of the club. We may from time to time also send you information on other matters. Please indicate your preferences which of these you wish to receive.

Address Line 1 *

Address Line 2

Address Line 3

Town *

Postcode *

County

Home Phone *

e.g. 01234 567890

Mobile Phone

e.g. 07123 456789

Date of Birth *//

Please double check your Date of Birth as it is very important for UKA Age Group Registration

Gender *

Male
Female

Nationality *

Required for UK Athletics Registration

Membership

Payment Schedule *

Payment in Full
Monthly Standing Order (not available for ASSOCIATE)

Fees are paid in advance and the preferred payment is in to pay your membership fee in full but we do offer standing order payments.
Membership is due on 01 April every year and can be paid in FULL or by MONTHLY STANDING ORDER. All NEW Members paying by standing order pay a JOINING FEE of £10.00 upfront to cover initial UKA Fee & administrative Fees. If your membership lapses you have to pay the Joining fee again.
If you miss a standing order payment you will be required to pay a penalty of £10.00 plus £10.00 for each of the standing order payments missed.
The UK Athletics Affiliation Fee of £15 is paid annually by the Club to UK Athletics on your behalf. You will receive registration details from them together with your UKA number. The ASSOCIATE member category is intended for someone who wishes to be associated with the Club but who DOES NOT TRAIN OR COMPETE

Membership Type *

1st Claim Club *

Please enter the name of your 1st claim club

Changing 1st Claim Club

TBAC will become my 1st Claim Club

If you are joining TBAC as your 1st Claim Club and intend to resign that status from another club please Tick.

Current 1st Claim Club *

Confirmation 120 *

I confirm commitment to pay £120

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 105 *

I confirm commitment to pay £105

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 48 *

I confirm commitment to pay £48

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 36 *

I confirm commitment to pay £36

< Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 5 *

Volunteers are not charged for membership

Confirmation SO *

I confirm commitment pay £10 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation JSO *

I confirm commitment pay a £10 joining fee and £10 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Lisa Bennett, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 2SO *

I confirm commitment pay £8.75 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Lisa Bennett, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation J2SO *

I confirm commitment pay a £10 joining fee and £8.75 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 3SO *

I confirm commitment pay £4 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation J3SO *

I confirm commitment pay a £10 joining fee and £4 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation 4SO *

I confirm commitment pay £3 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

Confirmation J4SO *

I confirm commitment pay a £10 joining fee and £3 by monthly standing order

Please send online payment to: Bank: HSBC, Account Name: Team Bath Athletic Club, Sort Code: 40-09-19, Account: 92647397 or, Cheque payable to ‘TBAC’ to: Membership Administrator, The Retreat, 195 Haugh, Winsley, Wiltshire BA15 2JD

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.

Age *

16 or over
Under 16

Parent or Guardian *

First

Last

Confirmation by Parent/Guardian *

I confirm the details above are correct

Photographic Permission *

I give permission for photographs including me to be used in publicity material
I wish to be asked for permission on a case by case basis
I DO NOT give permission for photographs including me 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.

Membership

Medical & Emergency Information

General Enquiries

Editor Bath Plug – TBAC’s Weekly Magazine

Sports Training Village

Categories