Membership

Renewals 17-18

Great Britain Wheelchair Rugby

MEMBERSHIP: RENEWALS 17/18

This membership form is for those who have previously held GBWR Membership and wish to renew for the 2017 – 2018 season (31st July 2017 – 31st July 2018). If your personal details have changed, please let us know on 020 8831 7645 or at
Please provide the following personal details to help us identify your Membership:
Name:
Membership number (if known):
e-mail address:
Date of birth:
We would like to provide you with electronic correspondence, which helps us reduce our environmental impact. Please advise your preferences:
News
☐ / Yes I am content to receive news and similar information by e-mail. / ☐ / No I do not wish to receive new updates from GBWR via e-mail.
AGM / special meetings (please note that if you select ‘No’, you will receive notifications by post.
☐ / Yes I am content to receive notification of the AGM and any special meetings by e-mail. / ☐ / No I do not wish to receive notification of the AGM and any special meetings by e-mail.
Please select your Membership category.
Renewals received after 31st August 2017 will be subject to a £50 administration fee.
☐ / Voting (£50)
Players and coaches aged 18+.
☐ / Associate (£40)
Families, Friends, Volunteers, Supporters & Sponsors. A pool system is in place for volunteers – each fee paid grants the club 2 places, on the provision that only half participate at any one time.
☐ / Family Associate (£80)
Families of up to 2 adults & 3 children, subject to Associate eligibility criteria.
☐ / Non-resident Associate (£40)
Those residing outside of England, Scotland & Wales.
☐ / Licensed Official Associate (£15)
Officials and Classifiers who reside within or outside of England, Scotland & Wales.
☐ / Youth (£25)
Players aged 12-17 years (inclusive). In the interest of safety, this form must be returned with the Activity Consent Form: Youth with all noted requirements agreed to or met. Safeguarding resources are available at www.gbwr.org.uk.
☐ / Youth Associate (£40)
Volunteers and Assistant Coaches aged 16-17 years (inclusive). This category can be combined with the pool system in place for adult volunteers via Associate membership. In the interest of safety, this form must be returned with the Activity Consent Form: Youth Associate with all noted requirements agreed to or met. Safeguarding resources are available at www.gbwr.org.uk.
☐ / Youth Programme (£5)
Players aged 8-17 years (inclusive) in the youth programme only. In the interest of safety, this form must be returned with the Activity Consent Form: Youth Programme with all noted requirements agreed to or met. Safeguarding resources are available at www.gbwr.org.uk.
Please select your payment method.
☐ / Cheque / cash
Please make cheques payable to Great Britain Wheelchair Rugby Limited and post to:
GBWR, Rugby House, Twickenham Stadium, 200 Whitton Road, Twickenham, TW2 7BA.
☐ / Bank transfer
Bank account name: Great Britain Wheelchair Rugby Limited
Bank: National Westminster Bank PLC Sort Code: 600001 Account Number: 40497585
GBWR is committed to responsible Data Control, and want our Members to be comfortable in the knowledge that their data will be handled appropriately.
All personal data collected on this form will be stored and processed exclusively for the purposes of supporting you within the GBWR community, and for the sport as a whole. Your details may be passed on to third parties for the benefit of GBWR and the sport as a whole – for example, this will primarily consist of individuals within the community such as club representatives and coaches who may need to verify a member’s status for insurance purposes.
A member may make a subject access request for all data stored on them by GBWR, at a fee of £10.
This is a summary statement of GBWR’s Data Protection Policy and Privacy Notice, which are available in full at www.gbwr.org.uk or by contacting the GBWR Head Office.
☐ / I confirm that I have read the above Data Protection and Privacy Statement and GBWR’s Data Protection Policy and Privacy Notice and am content for my data to be processed by GBWR for the reasons, and in the manner, outlined.
Code of Conduct
GBWR is committed to appropriate behaviour as outlined within our Codes of Conduct, which are available in full at www.gbwr.org.uk or by contacting the GBWR Head Office.
☐ / I confirm that I have read and agree to abide by all GBWR Codes of Conduct, as applicable dependent upon my role(s) within the sport.
The completed form should be returned to or posted to:
GBWR, Rugby House, Twickenham Stadium, 200 Whitton Road, Twickenham, TW2 7BA

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