Join / Renew membership

N.B. If there are three or more COMPETING members living at the same address then 50% discounts apply for all those members except the member with the highest fee. Please note the discount does not apply to the £20 EA fee.

(e.g. William Roy Smith, known as Billy)
Address
(enter country if not born in England)
(see here)
Please detail below any medical/disability information that our coaches and team managers should be aware of (e.g. asthma, diabetes, epilepsy, dyspraxia, special educational needs, etc.) If none state "none"

I hereby request to be accepted as a member of Newark Athletic Club for the year ending 31st March 2026. If paying by instalments I undertake to pay the full annual subscription.

I have read the Data Protection notes overleaf and I confirm that I have no objection to the information contained in this form being stored by the Club for Club purposes only, either on computer or other media.

I confirm I have read and agree to abide by England Athletics Code of Conduct (and where appropriate to explain it to my children/those in my care). These are available to read on https://www.englandathletics.org/clubhub/ in the Resources section.

Signature
Must be signed by a parent/guardian if the applicant is under 18 years of age.

Preferred payment method is by BACS to: Natwest Newark: Newark Athletic Club, sort code 54-10-23 A/C 36485683

Cheques should be made payable to Newark Athletic Club

e-mail: hazel.pond@tiscali.co.uk

Emergency Contact Details

(to be completed by parent/carer if applicant under 18 years)

If you object to your e-mail address being supplied to England Athletics you can opt out by accessing your Athlete profile online. It is recommended you regularly check your profile.

Please notify the membership secretary if any of the above information changes.