SLHC Club Membership Registration Form

Saintfield Ladies Hockey Club Membership Registration

Please complete the form below and complete payment of fees.
Please select membership type

£180 Full member (Over 18)£150 Under 18/full time student£260 Family (2x under 18)£290 Family (1x over 18 + 1x under 18)
Following completion of this registration form please complete payment of fees via either cash or bank transfer

Bank Details:

Saintfield Ladies Hockey Club
Sort code: 98-01-25
Acc No: 76361057
Member Details
Name*

First NameLast Name
E-mail*
Phone Number*
Please enter a valid phone number.
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Medical Information
Please detail below any important medical information e.g asthma, diabeties, epilepsy, allergies etc*
I will inform the club of any important changes to my/my child's health, medication needs.*

I agree
In the event of illness or accident, I give permission for first aid to be administered where necessary by a first aider and emergency hospital treatment to be administered in the case where emergency contacts cannot be reached and where this is advised by a medical professional*

YesNo
Parent/Guardian Details

Please complete for members under the age of 18
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone Number
Please enter a valid phone number.
Emergency Contact Details
Emergency Contact 1 Name*

First NameLast Name
Emergency Contact 1 Phone Number*
Please enter a valid phone number.
Emergency Contact 2 Name*

First NameLast Name
Emergency Contact 2 Phone Number*
Please enter a valid phone number.
Do you need to add details for another member (family memberships)*

YesNo
Member 2

please complete details for your 2nd member
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical Information

Member 2
Please detail below any important medical information e.g asthma, diabeties, epilepsy, allergies etc*
I will inform the club of any important changes to my/my child's health, medication needs.*

I agree
In the event of illness or accident, I give permission for first aid to be administered where necessary by a first aider and emergency hospital treatment to be administered in the case where emergency contacts cannot be reached and where this is advised by a medical professional*

YesNo
Member 2 Emergency Contact Details
Member 2 Emergency Contact 1*

First NameLast Name
Member 2 Emergency Contact Phone 1*
Please enter a valid phone number.
Member 2 Emergency Contact 2*

First NameLast Name
Member 2 Emergency Contact 2*
Please enter a valid phone number.
Communication

Contact details provided in your member information section will be used
Club member (18+) I give permission for Sainfield Ladies Hockey Club to contact me via sms/telephone and on whatsapp through individual messages and group chats

YesNo
U18's (to be completed by parent/guardian) I give permission for Saintfield Ladies Hockey Club to contact my child via sms/telephone and on whatsapp through individual messages and group chats

YesNo
Photography, Video & Audio Consent
In accordance with Hockey Ireland and Ulster Hockey child protection policy and procedures, we will not permit photographs, video or other images of children/young people to be taken without the consent of parents/guardians and children/young people. If you become aware that these images are being used inappropriately you should inform the club immediately
Photograph's video and audio may be taken of you/your child during Saintfield Ladies Hockey Club activities/events on and off site. These will be used for internal and external promotional purposes including on our social media pages, in printed material, shared with Hockey Ireland/Ulster Hockey or used as a coaching aid.*

YES, I give permission for you to use my/my child's photograph, video or audio as described above.NO, I do not give permission to use my/my child's photograph, video or audio as described above.
Travel Consent
To facilitate transport to and from matches or other club activities we will use cars and/or hired buses. These may be driven by club members, coaches, umpires or parents.*

YES, I give permission for my child to be transported as described above.NO, I do not give permission for my child to be transported as described above.N/A I am aged 18 or over
Privacy Policy
I consent to my/my child's personal data to be shared with coaches/captains for the purposes of the delivery of safe participation in club activities and with a medical professional should I be unable to do so myself due to suffering illness or injury when participating in club activities. The data will not be shared or processed for any other purpose*

YesNo
When you become a member or renew your membership with Saintfield Ladies Hockey Club you are also registered as a player with Ulster Hockey (for Ulster Hockey leagues, cups and programmes) and Hockey Ireland (for Hockey Ireland leagues and cup competitions). If you have any questions about the continuing privacy of your personal data when it is shared with Ulster Hockey and/or Hockey Ireland please contact Ulster Hockey and/or Hockey Ireland*

I give permission to be registered as a player with Ulster Hockey and Hockey Ireland
Club Code of Conduct & Complaints Procedures
Saintfield Ladies Hockey Club has recently updated its Code of Conduct and Complaints procedures.

These outline the club expected minimum standards of behaviour and conduct for players, coaches, supporters and parents/guardians.

The complaints procedure sets out the clubs process for dealing with complaints - both informal and formal as well as internal and external.

Please read the document below thoroughly before accepting and completing the remainder of your membership details.

These files can be downloaded for future reference
I have read and accept the Code of Conduct and Complaints procedures set out by Saintfield Ladies Hockey Club.*

I agree
Declaration
I confirm that the above details are correct to the best of my knowledge*

I Agree
I/my child will wear the regulation club kit and protective equipment including shin guards and mouth guards at all sessions*

I Agree
Person Completing Form
Signature

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Saintfield Ladies Hockey Club Membership Registration

Member Details

Medical Information

Parent/Guardian Details

Emergency Contact Details

Member 2

Medical Information

Member 2 Emergency Contact Details

Communication

Photography, Video & Audio Consent

Travel Consent

Privacy Policy

Club Code of Conduct & Complaints Procedures

Declaration