Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Coaching Start Option

Please select the Coaching Start Option that you would like to join?

Saturday Yr 4 - 6 Senior Thursday Yr 5, 6, 7 Tuesday Yr 5, 6, 7 Y7 above

Membership Start

When would you like your membership to start?

As Soon As Possible (Yr8 and Older) Join the Waiting List (Yr7 and Below)

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

Category	Joining Fee	Cost
Annual Subscription (Inc EA Registration) Subscription for Over 13 (School Year 8) new joiners, includes all tracks fees, and entries to league and team competitions. Movers from Term time to Annual	£0.00	£195.00
Spring term with EA Spring term membership including EA		£80.00
Summer Term with EA For children who want to defer decisions about annual membership until September. Only available once, excludes Club vest Only available to people up to the age of 13.		£80.00
U13 Waiting List Records interest and allocates a place on the BAC waiting list Only available to new applicants.		£0.00
Second Claim Those who compete for another club but train with Bracknell Athletic Club, will pay the Standard Membership rate. EA Registration is paid through the First Claim Club.		£45.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://www.bracknellac.com/Home/TermsAndConditions) and the Privacy Policy (https://www.bracknellac.com/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Mrs Jane Dave,

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

Description

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