Return completed form to Membership Secretary (Updated April 2024)
NORTH EAST VETERANS ATHLETICS CLUB.
(Affiliated to England Athletics and Northern Athletics )
If you are using this form to renew your NEVAC membership tick circle --> O
MR.MRS.MISS.MS*_____FIRST NAME_______________________________
SURNAME____________________________________________________
ADDRESS_____________________________________________________
_____________________________________________________________
POSTCODE________________TEL.No.+code__________________________
E MAIL ADDRESS_______________________________________________
DATE OF BIRTH___________________
PLACE OF BIRTH________________________________
Are you a member of an athletics club?YES / NO *
If yes - name of club_____________________________
Previous Club?____________________________________
Date of resignation_______________________________
Has notification of your resignation been sent to the North of England AA ?_____yes/no.*_____
I do/do not* accept that my personal details will be held on a computer by NEVAC.........
I do/do not* agree to the disclosure of my personal data in a list of members which the Club is required to submit to Northern Athletics
for levying purposes...PLEASE NOTE:-If you do not * agree to disclose your Name,Address and Date of Birth to Northern Athletics - your application cannot be considered.................................I declare I am over 35 years of age.
SIGNATURE____________________________DATE__________________
I wish to RENEW my 2025 membership and enclosed £25.00 / £30.00* . (£5 discount is for Subs paid before January 31st 2025) tick circle -> O
I am a NEW MEMBER and enclose £25.00 for 2024.- - - - - tick circle - - - - - -- - - - - - - - - - - - - - - - -> O
“When you become a member of or renew your membership with NEVAC you will automatically be registered as a member of England Athletics. We will provide England Athletics with your personal data which they will use to enable access to an online portal for you (called myAthletics). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, among other things, allows you to set and amend your privacy settings). If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact [email protected]
I also wish to order a club vest and enclose a further £15 .. tick circle --> O (please state Female / Male *size required) 32" 34" 36" 38" 40" 42" 44"
* delete where applicable.
Please print and send this form with cheque/order payable to " N.E.V.A.C " to:- George Routledge, 5,St.Hildas Avenue, Holy Cross, Wallsend, Tyne & Wear NE28 7AB. Please enclose a Self Stamped Addressed Envelope.
N.E.V.A.C is a first claim Athletics Club for members over the age of 35. If you wish to compete in some North East Masters, European or World Masters events you may be required to join the North East Masters Athletics Association-(N.E.M.A.A).
To join N.E.M.A.A you must reside or have been born in the North East area and also be a member of a club. Please contact me -George Routledge -or see NEMAA website for further details.
www.northeastmastersathletics.weebly.com EMail [email protected]
Contact NEVAC Secretary George Routledge at local races. Please adjust form to fit on one page.
NORTH EAST VETERANS ATHLETICS CLUB.
(Affiliated to England Athletics and Northern Athletics )
If you are using this form to renew your NEVAC membership tick circle --> O
MR.MRS.MISS.MS*_____FIRST NAME_______________________________
SURNAME____________________________________________________
ADDRESS_____________________________________________________
_____________________________________________________________
POSTCODE________________TEL.No.+code__________________________
E MAIL ADDRESS_______________________________________________
DATE OF BIRTH___________________
PLACE OF BIRTH________________________________
Are you a member of an athletics club?YES / NO *
If yes - name of club_____________________________
Previous Club?____________________________________
Date of resignation_______________________________
Has notification of your resignation been sent to the North of England AA ?_____yes/no.*_____
I do/do not* accept that my personal details will be held on a computer by NEVAC.........
I do/do not* agree to the disclosure of my personal data in a list of members which the Club is required to submit to Northern Athletics
for levying purposes...PLEASE NOTE:-If you do not * agree to disclose your Name,Address and Date of Birth to Northern Athletics - your application cannot be considered.................................I declare I am over 35 years of age.
SIGNATURE____________________________DATE__________________
I wish to RENEW my 2025 membership and enclosed £25.00 / £30.00* . (£5 discount is for Subs paid before January 31st 2025) tick circle -> O
I am a NEW MEMBER and enclose £25.00 for 2024.- - - - - tick circle - - - - - -- - - - - - - - - - - - - - - - -> O
“When you become a member of or renew your membership with NEVAC you will automatically be registered as a member of England Athletics. We will provide England Athletics with your personal data which they will use to enable access to an online portal for you (called myAthletics). England Athletics will contact you to invite you to sign into and update your MyAthletics portal (which, among other things, allows you to set and amend your privacy settings). If you have any questions about the continuing privacy of your personal data when it is shared with England Athletics, please contact [email protected]
I also wish to order a club vest and enclose a further £15 .. tick circle --> O (please state Female / Male *size required) 32" 34" 36" 38" 40" 42" 44"
* delete where applicable.
Please print and send this form with cheque/order payable to " N.E.V.A.C " to:- George Routledge, 5,St.Hildas Avenue, Holy Cross, Wallsend, Tyne & Wear NE28 7AB. Please enclose a Self Stamped Addressed Envelope.
N.E.V.A.C is a first claim Athletics Club for members over the age of 35. If you wish to compete in some North East Masters, European or World Masters events you may be required to join the North East Masters Athletics Association-(N.E.M.A.A).
To join N.E.M.A.A you must reside or have been born in the North East area and also be a member of a club. Please contact me -George Routledge -or see NEMAA website for further details.
www.northeastmastersathletics.weebly.com EMail [email protected]
Contact NEVAC Secretary George Routledge at local races. Please adjust form to fit on one page.