NEW FAMILY Bracknell Ice Skating Club Membership Application Form

This form should be used to either renew your or join as a new Family member of Bracknell Ice Skating Club.

IMPORTANT NOTES: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED RINK TEST LEVEL 8. PARENTS COMPLETING THIS FORM WHO DO NOT INTEND TO SKATE CAN IGNORE THIS QUESTION IN THE CURRENT SKATING LEVELS SECTION.

PLEASE COMPLETE ALL THE SECTIONS RELEVANT TO YOUR FAMILY MEMBERSHIP REQUIREMENTS.

Please Note: Payment is taken at completion of this form, where you will be automatically transferred to PayPal, this will allow you to pay either by your credit card or by a PayPal account should you have one.

Should you wish to enrol or renew an Individual membership then please select:
https://secure.jotformpro.com/Bracknell-Ice-Skating/BISC-Individual-Membership

To renew or enrol for a Associate membership please select:
https://secure.jotformpro.com/Bracknell-Ice-Skating/BISC-Associate-Membership

To renew or enrol for an Ice Ability membership please select:
https://secure.jotformpro.com/Bracknell-Ice-Skating/BISC-Ice-Ability-Membership

1st Parent or Guardian - Personal Information

First Name*

Surname*

Gender*

Date of Birth (enter "Adult" if over 18)*

dd / mm / yy or "Adult"

Home Address*

Street Address

Street Address Line 2

Postal code

E-mail*

Phone Number*

Enter Current Skating Levels.

PLEASE NOTE: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED AT LEAST RINK TEST LEVEL 8. PARENTS OR GUARDIANS COMPLETING THIS FORM WHO DO NOT INTEND TO SKATE CAN IGNORE THIS SECTION AND MOVE TO: "SKATE COACH AND BISC MEMBERSHIP".

Please confirm you have passed Rink Test Level 8

I confirm I have passed Rink Test Level 8

Please enter your passed Rink Test, Passport Test or NISA test levels. Enter "N/A" if test has not been taken

	Rink Test	Passport Test	Field Moves Test	Elements Test	Free Test	Pattern Dance Test	Free Dance Test
Enter Test Levels ->

Skate Coach and BISC Membership

Are you coached at Bracknell ?*

YesNo / Not Applicable

Name of Coach(s)

If applicable please enter your NISA number

Important Note:

We will no longer be issuing membership cards. Instead you will need to show your PayPal receipt to reception as proof of membership.

2nd Parent or Guardian - Personal Information

First Name

Surname

Gender

Date of Birth (enter "Adult" if over 18)

dd / mm / yy or "Adult"

E-mail

Phone Number

Current Skating Levels.

PLEASE NOTE: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED AT LEAST RINK TEST LEVEL 8. PARENTS OR GUARDIANS COMPLETING THIS FORM WHO DO NOT INTEND TO SKATE CAN IGNORE THIS SECTION AND MOVE TO: "SKATE COACH AND BISC MEMBERSHIP".

Please confirm you have passed Rink Test Level 8

I confirm I have passed Rink Test Level 8

Please enter your passed Rink Test, Passport Test or NISA test levels. Enter "N/A" if test has not been taken.

	Rink Test	Passport Test	Field Moves Test	Elements Test	Free Test	Pattern Dance Test	Free Dance Test
Enter Test Levels ->

Skate Coach and BISC Membership

Are you coached at Bracknell ?

YesNo / Not Applicable

Name of Coach(s)

If applicable please enter your NISA number

Important Note:

We will no longer be issuing membership cards. Instead you will need to show your PayPal receipt to reception as proof of membership.

3rd Family Member - Personal Information

First Name

Surname

Gender

Date of Birth (enter "Adult" if over 18)

dd / mm / yy or "Adult"

Current Skating Levels.

PLEASE NOTE: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED AT LEAST RINK TEST LEVEL 8.

Please confirm you have passed Rink Test Level 8

I confirm I have passed Rink Test Level 8

Please enter your passed Rink Test, Passport Test or NISA test levels . Enter "N/A" if test has not been taken.

	Rink Test	Passport Test	Field Moves Test	Elements Test	Free Test	Pattern Dance Test	Free Dance Test
Enter Test Levels ->

Skate Coach and BISC Membership

Are you coached at Bracknell ?

YesNo

Name of Coach(s)

If applicable please enter your NISA number

Important Note:

We will no longer be issuing membership cards. Instead you will need to show your PayPal receipt to reception as proof of membership.

4th Family Member - Personal Information

First Name

Surname

Gender

Date of Birth (enter "Adult" if over 18)

dd / mm / yy or "Adult"

Current Skating Levels.

PLEASE NOTE: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED AT LEAST RINK TEST LEVEL 8.

Please confirm you have passed Rink Test Level 8

I confirm I have passed Rink Test Level 8

Please enter your passed Rink Test, Passport Test or NISA test levels. Enter "N/A" if test has not been taken.

	Rink Test	Passport Test	Field Moves Test	Elements Test	Free Test	Pattern Dance Test	Free Dance Test
Enter Test Levels ->

Skate Coach and BISC Membership

Are you coached at Bracknell ?

YesNo

Name of Coach(s)

If applicable please enter your NISA number

Important Note:

We will no longer be issuing membership cards. Instead you will need to show your PayPal receipt to reception as proof of membership.

5th Family Member - Personal Information

First Name

Surname

Gender

Date of Birth (enter "Adult" if over 18)

dd / mm / yy or "Adult"

Current Skating Levels.

PLEASE NOTE: IF YOU INTEND TO SKATE YOU MUST HAVE PASSED AT LEAST RINK TEST LEVEL 8.

Please confirm you have passed Rink Test Level 8

I confirm I have passed Rink Test Level 8

Please enter your passed Rink Test, Passport Test or NISA test levels. Enter "N/A" if test has not been taken.

	Rink Test	Passport Test	Field Moves Test	Elements Test	Free Test	Pattern Dance Test	Free Dance Test
Enter Test Levels ->

Skate Coach and BISC Membership

Are you coached at Bracknell ?

YesNo

Name of Coach(s)

If applicable please enter your NISA number

Important Note:

We will no longer be issuing membership cards. Instead you will need to show your PayPal receipt to reception as proof of membership.

Bracknell Ice Skating Club. "The Club" is affiliated to the National Ice Skating Association of Great Britain LTD "NISA", and is constituted under NISA rules. The principal aims of the club are to encourage and develop amateur ice skating amongst its membership. A full copy of the Club Constitution is available to all members to download from the club website www.bracknell-ice-skating-club.co.uk . Information about the Club Committee and details about club activities appear on the club website, and all communication is via emailed newsflashes.

The club notice board, situated between the instructors’ changing rooms in skate-hire has only limited information. Please note that members must be coached at Bracknell in order to enter club competitions.

Bracknell Ice Skating Club code of conduct for skaters and parents must be accepted before membership can be accepted. Any BISC member not adhering to the above will be disciplined in accordance with Section 9 of the Club Constitution.

Once you have read the code of conduct please tick the box below.*

Where a parent/carer has accepted the Code of Conduct on behalf of a member under 18, they undertake to make that member fully aware of the Code*

I agree to make my family members under the age of 18 fully aware of the code of conduct

Data will be held in the club secure cloud server and used by The Club in accordance with the General Data Protection Regulation (GDPR) 2018 for the purposes of administration, organisation of activities and publicity. Please see Bracknell Ice Skating Club Data Privacy Policy 2018.

Tick box to agree*

I agree to allow my details to be held by The Club in accordance with the General Data Protection Regulation (GDPR) 2018

Permission for the taking of photos/video of club members will be requested before any club event. Photos/videos will only be used for publicity purposes if written or signed consent has been given by parent and/or individual (including children 12 and over).

Payment Section

Please note: This section should be completed by the person paying the membership fee.
The annual family membership fee is £50.

Once you have completed all the required fields below and selected the "Apply for Membership" button you will be autmatically transferred to the Paypal site for you to complete the final payment part.

First Name*

Surname*

E-mail*

Phone Number*

Please Confirm Your Family Membership:*

BISC Annual Family Membership Fee£50.00

BISC Family Membership Fee for May/June (*Select This Option ONLY If Joining in May/June)£25.00

*Members joining in May or June need only pay 50% (£25).
Those joining in July pay in full for a 13 month membership.

Please Note: You will need to show your PayPal receipt to reception as proof of membership for the purchase of monthly patch vouchers.