Club Membership Registration Form

Club Membership Form

Data Protection Statement: Please note the personal information you have entered on this form will only be used to contact you by the Club, and to assist the normal running of the Oval Ski Club. Your name(s) and email address will be passed only to the governing body, Snowsport England and their insurers, in line with their requirements. The information will NOT be supplied to any other third party. All personal information will be held securely, and in accordance with the principles of the Data Protection Act 2018. The Oval Ski Club has a formal Data Protection Policy document that can be provided to members on request. You have the right to view the personal data held on you by the Club, by making a written request to the Club Secretary. The personal data held will only be the information you have supplied to the ski club. To ensure the information the ski club holds is correct and up-to-date, please inform the Club of any changes to your contact details at your earliest convenience.
Please select type of membership*
Name of Junior Member*

First NameLast Name
Name of Senior Member*

First NameLast Name
Name of Lead Family member*

First NameLast Name
How many members are you registering under Family Membership?
Family member 2*

First NameLast Name
Date of Birth - Family Member 2, if under 18:

DayMonthYear
Family member 3*

First NameLast Name
Date of Birth - Family Member 3, if under 18:

DayMonthYear
Family member 4*

First NameLast Name
Date of Birth - Family Member 4, if under 18:

DayMonthYear
Family member 5*

First NameLast Name
Date of Birth - Family Member 5, if under 18:

DayMonthYear
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Contact phone number of parent/carer
Phone number
Contact phone number
Phone number
Email (this should be parent or guardian if a Junior member)
example@example.com
Junior Member Birth of Date:

DayMonthYear
Medical information: Please detail below any important medical information that our instructors and volunteers should be aware of (e.g. epilepsy asthma, diabetes, allergies etc) and medication.
The Equality Act 2010 defines a disabled person as anyone with a 'physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities'. Do you consider your child to have a disability?

YesNo
The Equality Act 2010 defines a disabled person as anyone with a 'physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities'. Do you consider yourself to have a disability?

YesNo
The Equality Act 2010 defines a disabled person as anyone with a 'physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities'. Do you consider any one in your family to have a disability?

YesNo
If yes, what is the nature of the disability?

Visual impairmentHearing impairmentLearning disabilibyPhysical disabilityMultiple disabilityOther
Please state which family member this applies to
Emergency Contact Details

Please provide details of individual to be contacted in case of emergency
First Name contact 1 Last Name Phone Number Relationship to individual
Contact 2 First Name Last Name Phone Number Relationship to individual
Declaration - Junior Membership*

I give permission for my child to receive medical or dental treatment in the event of an emergency and in accordance with the recommendations of a qualified medical practitioner. I understand in the event of injury or illness all reasonable steps will be take to contact me, and to deal with the injury/illness appropriately.
Declaration - Senior Membership*

I give permission to receive medical or dental treatment in the event of an emergency and in accordance with the recommendations of a qualified medical practitioner. I understand in the event of injury or illness all reasonable steps will be take to contact my emergency contact, and to deal with the injury/illness appropriately.
Declaration - Family Membership*

I give permission for any family member to receive medical or dental treatment in the event of an emergency and in accordance with the recommendations of a qualified medical practitioner. I understand in the event of injury or illness all reasonable steps will be take to contact my emergency contact, and to deal with the injury/illness appropriately.
Name of Parent/Carer submitting membership form

First NameLast Name
Name of family member submitting membership form

First NameLast Name
Date

MonthDayYear
Date
Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
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