BRT - Bexhill Runners & Triathletes

BRT Participant Information
For Those Participating in Coached Sessions

By submitting this form I confirm that I understand that participation in sessions is entirely at my own risk and should consult my own doctor if suffering from any condition that may be aggravated by sporting activities.

Bexhill Runners & Triathletes take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation. Please read our full Privacy Policy carefully to see how The Club will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.

* indicates required

First Name *

Last Name *

Email Address *

What is your sex *

Female
Male
Non-binary
Prefer not to say

Date of birth *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Home Telephone

Mobile Telephone *

ICE - First Name *

ICE - Last Name *

ICE - Relationship to participant *

ICE - Home Telephone

ICE - Mobile Telephone *

Details of any medical or health conditions *

Any medications you take on a regular basis? *

Any specific needs we need to be aware of? *

Privacy

I accept the terms set out in the Privacy Policy