Member Renewals Form

Name *

Date of Birth (dd/mm/yyyy) *

Email *

Name of Second Juvenile *

Date of Birth of Second Juvenile *

Name of Third Juvenile *

Date of Birth of Third Juvenile *

Name of Fourth Juvenile *

Date of Birth of Fourth Juvenile *

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone (+353...) *

Payment Selection *

Choose one of the following options (Half year fee now applies):Senior (€65)Fit4Life/Student (age 18-23) (€30)Juvenile (€65)Juvenile x2 (€120)Juvenile x3 (€160)Juvenile x4 (€200)

Consent to receive information relating to my membership *

I would like to receive information via email or text from the Club or Athletics Ireland to keep me informed about details of meetings, events, competitions and other information related to my membership.Yes, I concentNo, I do not wish to receive emails/texts

Photography and film consent *

The Athletics Ireland photography policy is available on www.athleticsireland.ie. As far as is possible the club will not allow photographs, video or other images of children/young people to be published without the consent of the parents/carers and children/young people.I give permission for my child to be filmed and/or photographed during an athletic event or competitionI do not concentI am over the age of 18 and concent to my photograph being taken

GDPR Information The Club takes 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 data protection legislation. When you become a member of or renew your membership with the Club you will automatically be registered as a member of Athletics Ireland. You can access the Athletics Ireland Club Privacy Policy and Privacy Statement at http://www.athleticsireland.ie/clubs/gdpr Please read the Privacy Policy and Privacy Statement carefully to see how the Club stores, manages and deletes your personal information. You can access the Athletics Ireland Privacy Policy and Privacy Statement at http://www.athleticsireland.ie/about/gdpr/ Club membership forms are held by the Club for 1 year prior to being destroyed. Membership data is stored for three years on the Athletics Ireland membership database before being securely deleted. If you have any questions about the continuing privacy of your personal data when it is shared with Athletics Ireland, please contact dataprotection@athleticsireland.ie