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Membership Form

Just fill in the form below, and accept the email sending. Or Click Here for a printout.

Members Details

Name
Address
Postcode
Home Phone Number
Mobile Number*
Email*
Date Of Birth
Home Nation Reg. Number
(i.e. Snowsport England)
* Should be the parents unless the racer is over 18

Photographs

Photographs of the children are sometimes taken and may be published on the website, notice board or in the local press. If you do NOT consent to photographs being used in this way please tick this box.
Photographs may be passed on (no names will be given) to other organisations i.e. Snowsport England, for promotional purposes. If you do NOT consent to photographs being used in this way please tick this box.

Ethnicity

A. White British Any other white background
Irish
B. Mixed White & Carribbean Any other mixed background
White & Asian
White & Black African
C. Asian Or Asian British Indian Any other asian background
Pakistani
Bangladeshi
D. Black Or Black British Carribbean Any other black background
African
E. Chinese or other ethnic group Any other
F. No Declaration  

Sporting Information

Have you taken part in ski racing before the Vikings?   Yes No
If Yes Where
What is your skiing experience?

Disability

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial 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? Yes No
If yes, what is the nature of your disability?
Please detail below any important medical information that our coaches/junior coordinator should be aware of:

Other (please specify)

Medical Information

Please detail below any important medical information that our coaches/Junior Coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)

 

Emergency Contact Details

To be completed by parent or carer. Please insert the information below to indicate the person(s) who should be contacted in event of an incident/accident.
Name Contact Number

 

Mailing Lists

We will add your email address to the club database, you will then receive all the emails for the club members, including details of races, events and other important information. If you do NOT wish to receive these emails please tick this box.
The Vikings are an active member of ERSA, one of the eight regions that are currently affiliated to the national governing body of skiing, Snowsport England. As a member you will receive emails from ERSA, if you do NOT wish to receive these emails please tick this box.

Finally

I agree to my son/daughter/child in my care taking part in the activities of the club. I understand that I will be kept informed of these activities – for example timing and transport details. I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately.

 
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