Athlete Registration Sept/Oct 2021 Athlete Details Please fill out if registering a sibling. Parent/Guardian Contact Details (Main Emergency Contact) I consent to Knutsford Harriers using this information to contact me. Medical Information Please detail below any important medical information that our coaches should be aware of (eg epilepsy, asthma, diabetes etc.). Membership Fees Due Please tick your amount due. Tick both boxes if paying for a sibling. Payment covers sessions from 16th September - 21th October. £12 (child 1) £10 (child 2) Upon submission of this form, you will be sent an email containing the Knutsford Harriers' bank transfer details. Please help us keep payment contactless. Thanks! Consent For Photography and Images of Children During your child’s membership of Knutsford Harriers, we may wish to take photographs and/or videos. Photographs/videos may be used on Facebook, Twitter, or on our website. Photography will only take place with the permission of the Head Coach. You can ask to see the images of your child held by us and you may withdraw your consent at any time. We need your permission to use any photographs/videos of your child. Please read the following and select the appropriate statement. I understand that members of the Knutsford Harriers and Athletics Club may take images of activities that show my child/children in a positive light such as during training or competitions. Photographers acting on behalf of Knutsford Harriers may take images for use on Facebook, Twitter or on our website. Embarrassing or distressing images will not be used. The Club will regularly review and delete unwanted material. Do you give your consent for photographs and/or videos to be taken and used? Please tick in the appropriate box below. YES I give my consent for pictures to be taken and used. YES (w/ name withheld) I give my consent for pictures to be taken and used, but DO NOT wish for my child’s name to be associated with their photograph(s). NO I do not give my permission for pictures to be taken and used.