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MANSFIELD HARRIERS ONLINE MEMBERSHIP 2024-25
You can now sign up for your 2024-25 club membership online below, Payments are made by card.
1
Type Of Membership
2
Your Details
3
Family of 4 Details
4
Parental Consent
Membership type
Individual Adult Membership
Under 18 / Full Time Education Membership
Under 11 (Must be 9+ to join)
State Pension Age
Associate / Active Coach
Second Claim Member (EA fee not included)
Student*
Track Pass Redemption Adult**
* Full time or further education at University or College more than 20 miles away from Mansfield, and unable to attend regular training sessions.
** Only to be used by athletes who purchased a track pass prior to full membership becoming available.
Privacy of your data
*
Review our
privacy policy
to read more about how we protect and manage your data.
I consent for Mansfield Harriers & AC to collect my name, email address, telephone number, postal address, date of birth, any given medical conditions and first aid training/qualifications.
Athletes, Parents and Coaches Code of Conduct
*
Review the
England Athletics Club Safeguarding & Welfare Policies
and read how It is everyone’s responsibility to protect the welfare of all those who participate in athletics.
I have and read and will adhere to the policies
Under 11's Parents
*
As a parent/guardian of an under 11 athlete I acknowledge I must be present with them during training.
I have and read and agree to this
Road Adult
Price:
Road Under 18
Price:
Under 11
Price:
State Pension Age
Price:
Road Coach
Price:
Road Seconds
Price:
Student*
Price:
Track Pass Redemption**
Price:
Current Total
£ 0.00
Athlete/Runners Name
*
First
Last
Email Address
*
Phone
*
If you are a member at any other athletics club/s please enter them below
Date of Birth
*
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YYYY
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Sex
*
Male
Female
Is your gender identity the same as sex assigned at birth?
*
Yes
No
Age group of athlete/runner
*
Under 11
Under 13
Under 15
Under 17
Senior
Address
*
Address First Line
Town/City
ZIP / Postal Code
Please give details of any medical conditions
Please give details of any First Aid Training/ Qualifications
Current Total
£ 0.00
1. Photographs
*
Do you give permission for Mansfield Harriers & Athletic Club to take photographs and videos of your son/daughter at athletics events and training sessions by a coach for training purposes or to use them on the Mansfield Harriers & Athletic Club website and other promotional material (e.g. local newspapers)?
Yes
No
2. Transport
*
Hire transport will be provided to certain events during the year. If required, do you give your permission for your child(ren) to travel on this transport? (Limited space may be available for parents).
Yes
No
Parent/Guardian Signature
If on a touch screen device simply sign with your finger, on a desktop computer click and sign.
Parent/Guardian Name
Full Name
Date
Current Total
£ 0.00
Stripe Surcharge
Price:
£ 0.00
Current Total
£ 0.00
Please enter your card details in the form below and click the join button to make payment, please remember there is a additional 1.5% +20p charge for using Stripe.
Credit Card Details
*
Cardholder Name
Cardholder Name