Online Membership Form

Below is our online membership form. We think this is a pretty unique feature which saves you time and paper to print and fill out a paper based membership form. Please press the submit button when you are ready. Many thanks.

Please fill out ALL fields / boxes - write N/A if the item does not concern you as the form submission will not work without all the information filled in. Thanks.

We are very pleased to welcome you as a member of Calne Badminton.

Calne Badminton welcomes applications for membership from anyone interested in badminton regardless of age, disability, ethnicity, gender, nationality, sexual orientation or other beliefs.

Please complete this form and return with correct payment to a member of the club's committee.

Membership Class & Type

* Indicates required field

Class of Membership *

Adult (Aged 19+) Junior (Aged 5 to 18) Concession (Aged 19+) BE Coaching Register Concession (Aged 18+) Other BE Affiliated Club Concession Junior (Aged 5 to 18) Other BE Affiliated Club Member Concession Adult (Aged 19+)

Type of Membership? *

New (to club) Renewal Guest

Player Contact Information

Forename *

Surname *

Address *

Postcode *

NOTE:

If for a junior membership application, neither the mobile phone nor the email address should be that of the child -
this would make the child vulnerable and is considered poor practice. These details should be those of the parent / carer /
guardian.

Home Telephone Number *

Work Telephone Number *

Mobile Telephone Number *

Email Address *

Your date of birth is needed for insurance purposes

Date of Birth *

How did you find out about Calne Badminton? *

Emergency Contact Information

Please fill in the information below to indicate the person(s) who should be contacted in the event of an accident/incident.

Please note if you are a couple please kindly do not put your other partner if you both attend our sessions, as we will not have an emergency contact. In this case a close relative or work colleague is acceptable.

Emergency Contact Name *

Emergency Contact Telephone Number *

Emergency Contact Relationship to Player *

Disability

The Disability Discrimination Act 1995 defines a disabled person as anyone with 'a physical or mental impairment, which has a substantial long-term adverse effect on his or her ability to carry out normal day to day activities'.

Please tick if you have a disability so we can make any special arrangements to assist you.

Do you consider yourself to have a disability? *

Yes No Not sure at this time

Nature of your disability *

Medical Information

Please detail below any important medical information that our coaching team / club management should be aware of e.g. epilepsy, allergies, asthma, diabetes.

Please enter relevant medical information *

Please detail below any current medication used to treat the above, or otherwise. *

Please detail below your doctor you seek medical guidance from. *

Coaching

Do you require coaching? *

Yes No Not sure at this time

Are you an existing badminton coach? *

Yes No No - but would like to train to become one

If you are already registered with Badminton England via the coaching register for qualified coaches you can qualify for a discount on our membership fees.

If you said yes to 'Are you a coach' what level of qualification do you have? *

Assistant Coach UKCC Level 1 Coach UKCC Level 2 or equivalent UKCC Level 3 or above

If you said yes to 'Are you a coach' are you on the coaching register? *

Yes No

BE Coaching Register Membership Number *

BE Coaching Register Date of Expiry *

Badminton England

If you are already registered with Badminton England under another affiliated club you can qualify for a discount on our membership fees.

If you have ticked Yes, what is the name of the other affiliated Badminton England badminton club, and your Badminton England membership number if you have this available.

Are you an existing member of Badminton England? *

Yes No

Name of other BE club? *

Existing Badminton England Membership No. *

Photography and Video Recording

Calne Badminton is anxious to comply with the law and to protect members privacy. However, we are also anxious to advertise and display the excellence of activities enjoyed by our members, which involve photography for our website and other events. We will exercise reasonable discretion in our choice of 'shots' and will not name individuals photographed in general or specific views without their (or their parents if under 16) express consent.

Acceptance for membership of the Club implies acceptance of this policy.

Do you give permission for yourself to be photographed whilst at a badminton event and for this photo to be published in the local newspaper? (For tournaments/advertising/social events)

Permission for photos for printed press? *

Yes No

Permission for photos for club website? *

Yes No

Permission to take video for coaching use? *

Yes No

Parents may take a photo of their children but only away from other children, such that only their children are in the photograph, not other children.

Club Volunteering - Want to help us to help you

Earn free Wiltshire Time Credits by volunteering in your club to spend in your club or the local community.

Would you like to become a club volunteer? *

Yes No Not sure at this time

Player Risk Agreement & Club Declaration

Players must understand that the game of badminton may be physically and mentally demanding and may require extreme exertion on occasion, furthermore it can be dangerous if not played in accordance with accepted practices and that as a new member you acknowledge that the possibility of injury to myself and others does exist.

As a new member you must confirm and agree that you are fully aware of the risks to myself and others involved in the game of badminton and that you will never, under any circumstances, deliberately or intentionally cause physical injury to any other player or attending person, or hurt or jeopardise the safety of others. You must confirm that you are physically and mentally fit and able to take the demands of playing badminton games.

As a new member you must hereby fully agree to comply with all Calne Badminton rules, its constitution, codes of practice, child protection policy, anti bullying policy, photography and filming policy. You shall obey all directions and instructions
of the supervisory and administrative volunteers and will always behave in a courteous and reasonable manner.

I understand in the event of injury or illness all reasonable steps will be taken to contact my contacts as listed on the emergency contact information, and to deal with that injury/illness appropriately.

I wish to join the Calne Badminton. I accept the club's rules and conditions for the period of time in which I am a member of the club.

Name *

Print Name to sign declaration in CAPITALS *

Date *

Member Payment

Payment may be made by one of several options.

Please indicate which option you intend to pay your membership for the current playing season.

Payment Type *

Cash (in person) Cheque (in person) Online (paypal) Online (BACS)

Cheques must be made payable to Calne Badminton

For Online BACs payments (our preferred method), please transfer funds to the following account:-

Account number (will be provided when account set up)

Account Sort Code (will be provided when account set up)

Bank (HSBC)

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