3S Membership application form 2001-2002

To print this form RIGHT CLICK HERE and choose PRINT

My child and I are aware that participating in skate Hockey is a potentially hazardous activity.
I hereby give my permission for

to participate in Shetland Skate Hockey events during the 2001-2002 season.

Signature of parent/guardian.

Siganture of member.

Name

Address

Telephone Number

Members Date of Birth

Date

Please include below any pre-existing medical conditions which may effest participation in skate hockey, eg allergies, asthma etc.

Membership is open to all residents of Shetland regardless of age, sex, race or disability.

For the September 2002 to August 2003 season the proposed membership fee is:

Senior year of birth 1983 or earlier £15
Junior year of birth 1984 to 1988£10
Pee Wee year of birth 1989 or after £10
Non Players (managers, coaches and officials) Free