2024 FISS MEMBERSHIP – CLUB REGISTRATION | Federation of Inline Speed Skating

2024 FISS Membership Club Registration

CLUB DETAILS

Please complete this form using accurate and correct information

Club Name(Required)

Please specify the full name of the Club you wish to register

Full Club Name

Training Venue(Required)

Please enter the name of your training venue(s)

PERSONNEL AND CONTACT DETAILS

Name of Club Secretary(Required)

Please provide the name of the Club’s Secretary. This person must be an affiliate Member of FISS. Should this person change at any point during the course of year, this must be communicated to the FISS Secretary.

Full name

Club Secretary Email(Required)

Please enter a valid email address

Name of Chairperson(Required)

Please provide the name of the Club’s Chairperson. Should this person change at any point during the course of year, this must be communicated to the FISS Secretary.

Full name

Name of Safeguarding officer

Please provide the name of the Club’s safeguarding officer. Should this change at any point during the course of year, this must be communicated to the FISS Secretary and FISS Lead Safeguarding Officer.

Full name

Name of Treasurer/finance officer(Required)

Please provide the name of the Club’s treasurer

Full name

MEMBERSHIP TYPE

Membership Type(Required)

FISS Annual Membership – Club Affiliation – £75

ADDITIONAL INFORMATION

Please provide accurate information in this section to the best of your knowledge. Please do NOT enter an arbitrary number/response or an outright guess

Number of Club Members(Required)

Please provide the number of Members of the Club. This can be based on last year’s figures if required.

Number of qualified Coaches(Required)

Please specify the number of qualified Club coaches

Names of qualified Club coaches(Required)

Please provide the names of any/all qualified coaches

Number of Officials/Assistants(Required)

Please provide the number of individuals who will act as Officials or assist with races throughout the 2024 season. We understand this will likely change during the course of the year however this information is useful to FISS.

Officials/assistants details(Required)

Please provide the names of individuals who will act as Officials or assist with races throughout the 2024 season. This does not mean that they will be expected to attend or officiate/assist with every event. Officials will need to become affiliate Members of FISS.

CONSENT

By submitting this form, you agree to the use of your data for the purposes of processing your registration and for the activities and records of the Federation of Inline Speed Skating. You agree to bide by the Federation’s rules, regulations and policies. Your data will be used and processed in accordance with Data protection and GDPR legislation. It will not be provided to third parties and remains confidential.

PAYMENT

Total

Payment Method(Required)

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Payment due for entry for Annual Membership Registration