Life Members Annual Registration | Federation of Inline Speed Skating

Name *Please specify your first name and surname

Gender *MaleFemalePlease specify your gender

Date of Birth *

Please enter your date of birth.

Email Address *Please enter a valid email address

Phone *Please enter a valid contact number

Street Address *

City *

State/Province

ZIP / Postal Code *

Country

Club *Please select your Club. If this does not apply to you, please select "independent"

Race NumberPlease enter your FISS race number if you have one. If this is not applicable, please leave this space blank.

Membership Type *FISS Annual Membership - Life MemberPlease select the appropriate FISS Membership option from the list

OfficialsI agree to officiate two (or more) events in return for a £10 membership discountPlease select this option if you wish to volunteer as an official or assistant/marshal. Those who officiate at two or more race meetings in a calendar year receive their £10 Membership fee back

Medical InformationPlease provide details of any allergies or illnesses here. Please include any prescription medication

Media ConsentPlease select this option if you do NOT wish to have photographs or videos taken and/or published.Please select this option if you do NOT wish to have photographs or videos taken and/or published. If there is a Court or Child Protection Order in place, please email secretaryfiss@inlinespeed.co.uk with details

Consent *By ticking this box you consent 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.Please confirm that you agree to the use of your data. 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.

Agreement *I agree to abide by the Federation's rules and participate as a Member in accordance with the policies of the Federation.