Volleyball England

CLUB AFFILIATION
Club Details

1st August 2016 – 31st July 2017

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Club Name: / Club Website:
(a link will be placed on the Volleyball England Website)
Main Club Venue: (a link to Google will be placed on the Volleyball England Website)
Venue Address:
Venue Town:
Venue County: / Venue Postcode:
Please indicate the number of teams in your club
Level / Male / Female / Mixed / Level / Male / Female / Mixed
National Volleyball League / School
Regional League / Recreational
Local League / BUCS
Junior (Under 18) / AoC
Beach / Sitting Volleyball
Other, please specify:
Please tick the boxes relevant to your club
Junior Under 18 Section / Caters for disabled
Suitable for beginners / Club is open to the public
Junior Only Club
Number of Club Members Please indicatea only one
20 and Under / 21-50 / 51- 100 / 101+

In line with the requirements of the Volleyball England Child Protection Policy, all individuals working with or involved with junior participants will be required to complete a Disclosure & Barring Service (DBS) check.

Payment Information Please make cheques payable to English Volleyball Association Ltd
Club Type / Standard rate
Standard Club / £89.50
New Club (not previously affiliated Volleyball England) / £40
Junior (U18) Clubs (JUNIOR ONLY) / £40
School / £40

Data Protection: Any information provided by you will be held centrally by Volleyball England on its computer databases and by Volleyball England commissions and regional officers and used for administering your involvement in volleyball. Data may be passed to authorised data processes and used for this purpose

· If you do not wish any of your details to be disclosed to members or public enquirers please tick this box ☐.

· We will from time to time contact you by telephone, email or other electronic means to promote Volleyball England products and services. If you do not want to receive these communications please tick this box ☐.

PLEASE NOTE: This will mean you will NOT receive the monthly e-newsletter or any other promotional communication from Volleyball England including information on events and competitions.

· We may from time to time pass your information on to carefully selected partners. If you do not want your details passed on to Volleyball England partners please tick this box ☐.

Signed Club Secretary: / Date:
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Volleyball England

CLUB AFFILIATION

Club Secretary Details

1st August 2016 – 31st July 2017

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First Name: / Surname:
Address 1: / Address 2:
Address 3: / Town:
County: / Postcode:
Tel. Home: / Tel. Work:
Mobile: / E-mail:
D. O. B: / Gender: Male / Female
Please enter the details that you wish to be displayed on the Volleyball England Website search facilities and membership reports
(By entering details here you give permission for these details to be displayed on the Volleyball England website and included on membership reports that may be sent to members and public enquirers)
Public Telephone / Public E-mail

Volleyball England supports the principle of equal opportunities for all participants, member, representatives and employees whilst working for, or on behalf of Volleyball England. Volleyball England opposes all forms of unlawful and unfair discrimination on the grounds of age, colour, race, nationality, religion, ethnic or national origin, gender, marital status, sexuality, HIV status, disability or unrelated criminal convictions.

Volleyball England

CLUB AFFILIATION
Club Welfare Officer Details

1 August 2016 - 31 July 2017

The welfare and well-being of all participants whatever their race, religion, sex, class, sexual orientation, age, disability or special need is a key concern of Volleyball England. If you have any specific queries or wish to discuss a concern, please contact Rob Payne, Young People Manager r by phone on 01509 227722

Volleyball England

SportPark, Loughborough University, 3 Oakwood Drive, Loughborough. LE11 3QF

Tel: 01509 227722 Fax: 01509 227733 E-mail:

Website: www.volleyballengland.org

Registered in England number 2023635