Adult Membership Form
Membership fees for 2017 are due on the 1st February.
Full year - £25
Half-year - £12.50
North Dorset Tri Club is affiliated to UK athletics. If you compete in running races and do not have
membership to another running club as a competing member, you can, for an extra £14, become a
member of UK Athletics and compete for North Dorset Tri Club. (This £14 goes to UK Athletics and saves
you money if you compete in more than 6 races a year).
Athlete Details
Name:
Date of Birth:
Address:
Telephone:
Mobile:
E-Mail:
Medical Conditions (which may affect triathlon training/competition):
Emergency Contact Details
Name:
Relationship to Athlete:
Telephone:
Mobile:
Membership Type – Please indicate
Adult full year - £25
Adult half year - £12.50
Adult year + UK athletics £39
Please complete the form and return with your subscription to the Club Treasure, Tim
Wetherilt, either on a Saturday morning or at 4 Heathfields Way, Shaftesbury, Dorset, SP7
9JZ. Cheques should be made payable to "North Dorset Tri Club" or pay by Bank Transfer Account Number: 40909897 Sort Code: 09-06-66
Benefits of membership: Club training sessions; club meetings; social events; access to Facebook page;
Vote at AGM. Discount on purchases at; Off Camber; Primera Bournemouth and SOS Swim Shop
Broadstone, Cooperate Blandford Leisure centre membership. Reduced membership to British Triathlon.
Photography
We occasionally take photographs of activities at training sessions and events. Please indicate
if it is acceptable for photos to be taken of you?
Yes/No
We occasionally use photographs of our activities for publicity purposes and website. Please
indicate if it is acceptable for photos of you to be used in this way?
Yes/No
Code of conduct for adult members
North Dorset Triathlon Club is fully committed to safeguarding and promoting the well-being of all
its members, ensuring a positive and enjoyable experience for all. The club believes that it is
important that members, coaches, administrators and parents associated with the club should, at
all times, show respect and understanding for the safety and welfare of others. Therefore,
members are encouraged to be open at all times and to share any concerns or complaints that
they may have about any aspect of the club with NAME AND POSITION.
As a member of North Dorset Triathlon Club, you are expected to abide by the following code of
practice:

All members must take responsibility in ensuring they are up to date with the rules,
understand and adhere to them.

All members must respect the rights, dignity and worth of all participants regardless of age, gender,
ability, race, cultural background, religious beliefs or sexual identity.

Members should recognise the valuable contribution made by coaches and officials who are usually
volunteers.

All members must respect officials and publicly accept their decisions.

All members should be a positive role model, treat other members and officials with the same level
of respect you would expect to be shown to you.

Use correct and proper language at all times.

Members should keep to agreed timings for training and competitions or inform their coach or
team manager if they are going to be late.

Members must wear suitable kit for training and match sessions, as agreed with the coach/team
manager.

Members must pay any fees for training or events promptly.

Bullying of any sort will not be tolerated.

Encourage everyone to enjoy sport and understand that people have different motivations for
taking part.
I hereby apply for membership of the North Dorset Tri Club and agree to abide by its rules and have
declared any medical condition I feel the club should be aware of.
Signed __________________________________________ Date _____________________________