SAISA Membership Application Form 2023

SAISA Membership Application Form 2023

Membership is from 1 January to 31 December
SAISA Membership fees 2023
- Membership is from 1 January to 31 December
- Late fees do not apply to new members joining throughout the year
- There is no pro rata joining fee, for part way through the year
- Members must renew each year prior to taking part in any Sanctioned or Un-sanctioned events (competitions, seminars, tests, shows)
- Registration with the national body for ice skating, Ice Skating Australia Inc. (ISA), is covered in the fee except for Aussie Skaters who must be registered with a skate school
- The fee for insurance under ISA's National Insurance Scheme is also included in the membership fee (except for Aussie Skates, see next dot point). The scheme has sports injury, sports management and liability cover
- The Aussie Skater membership fee acknowledges that registered Aussie Skaters are already covered under Aussie Skate National Registration and Insurance Scheme
- Aussie Skate members may upgrade to ISA Skater level members at any time it is required by applying for the upgrade membership and paying the difference in fees

Membership Fees	Renewals (before 1 April)	Late Renewals (Apr - Dec)	New Members (any time)
ISA SKATER all skaters competing or testing at ISA levels	135	155	135
RECREATIONAL SKATER not testing or competing	60	80	60
AUSSIE SKATER registered in Aussie Skate and competing in SAISA or other Interstate-level competitions	40	50	40
NON-SKATING parents, officials, team managers, committee executives, coaches	50	65	50
HONORARY LIFE SAISA Honorary life members	0	0	0
AFFILIATED CLUB	220	240	n/a

	DISCOUNT
ISA SKATER second skater in family	deduct $20
ISA SKATER third skater in family	deduct $30

PAYMENT OPTIONS: direct deposit via electronic transfer, or over-the-counter deposit at a BankSA

BSB: 105-105
Account No.: 389743040

Please add an easy identifier such as name and 'membership' or mobile number, birthday if only numerals are allowed

The Form

Please select from the following Member types first to open the correct form and assist with record management:
Member*

SkaterParentCoachOfficialClub
AFFILIATED CLUB memberships must ensure SAISA has been provided with the Club's current constitution and any amendments, alterations and by-laws. To facilitate good communication a list of the current committee members should be supplied, along with expected delegates' names and contact details (updated as necessary). A copy of the most recent Annual Report and Financial Statements would be beneficial and will be kept confidential.
MEMBERSHIP RESPONSIBILITIES: Rink Etiquette and Codes Of Conduct
- As a SKATER you agree to abide by Rink Etiquette rules and SAISA Codes of Conduct throughout your membership
- As a PARENT signing for a skater under the age of 18 years, an OFFICIAL or COACH you also agree to abide by and support Rink Etiqette rules and SAISA Codes of Conduct throughout your membership
- CLUBS agree to supporting and promoting Rink Etiquette rules and SAISA Codes of Conduct
Member Name*

First NameSurname
Club Name
Full club name as per ASIC
Club ABN (for club membership only)
XX XXX XXX XXX
Club website and social media URLs
Home rink

IceArena, Thebarton
Preferred First Name
Number of skating members ≥ 18 y.o.
Number of skating members < 18 y.o.
Number of non-skating members
Gender*

FemaleMale
Member DOB*

DayMonthYear
Date of Birth
Parent/Guardian Name (for under 18 y.o.)

First NameSurname
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Member Mobile*
Emergency Contact Mobile*
Member Email*
example@example.com
Are you an Australian Citizen?*

YesNo
If no, which nationality?
Skater highest test level
Coach (Select one coach only. If you have more than one coach please select your head coach only)

Rhianon BarberDeb BarrettTremayne BevanRobi ChalmersAshley ColliverStephanie HuotArielle JenningsRichard LaidlawBernadette MercurioAngela SchuurmansTeresa SinclairGiuseppe Triulcio
Club membership

Adelaide Edge Figure Skating ClubSilver Blades Figure Skating ClubSouth Australian Synchronised Ice Skating Club
If a synchro skater, what team(s) are you a member of?
Name of board member submitting application (for board members only)
Position of board member submitting application (for board members only)
Type of membership*

New memberRenewalUpgrade
Membership type*
Discount applicable*
Membership fee amount paid to SAISA*
$XXX.XX
SAISA Membership List survey question: Are you happy for SAISA to include the member's name in a list of current financial members on the SAISA website. The list would consist of the Member's name, Member number and POA (proof of age) number (if relevant). It will not include birthdates or contact details. Aussie Skate members will also be indicated as being Aussie Skaters. The list would be updated as often as possible but at least monthly.*

YesNo
Signature*
Should be Empty: