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Online Silver Blades End Of Year Ice Show Registration Form

Submitted by admin on Fri, 10/11/2013 - 22:24

Silver Blades End Of Year Ice Show - Online Registration Form 

If you have any questions, please feel free to email info@silverblades.org.au

Website: www.silverblades.org.au

* Required Information

Personal Details

(The Skater who is registering for synchro)

Available on the SBFSC membership card. If you are a new member for the 2013-2014 season and have not received the membership card, please leave this field blank.
MM/DD/YYYY
If you do not have a POA, please leave this field blank.

Contact Details

For members whose address is outside of Australia, please also provide your home country in the COUNTRY field
For members whose address is outside of Australia, please also provide your home country in this field

Parent/Guardian's Contact Details

If applying member is under 18 years of age

ISA Test Levels

Please select the highest ISA tests you have passed in full. The ISA testing stream does not include Aussie Skate tests.

Additional Details

 

You must nominate a coach(s)
Is the skater currently a member South Australia Ice Skating Association Inc (SAISA)?
If the skater has SAISA membership number available, otherwise leave this field blank.
Is the skater currently a enrolling in Learn to Skate Program?

Aussie Skate Test Levels

Please select the highest Aussie Skate tests you have passed.

Control Click to select multiple options in this list
Control Click to select multiple options in this list

Other Test Levels

Is the skater currently a member of another skating Club?

Ethnic Background

To assist in funding activities SFSC would like to capture the following information. It is optional, but encouraged

If you answered yes to the above question, what language do you speak at home?

END OF YEAR ICE SHOW

For  detailed of all practice ice-time, please refer to "siverbades-endof year-iceshow" on the http://www.silverblades.org.au/content/2013-end-year-ice-show page of the Club website.

END OF YEAR ICE SHOW REGISTRATION FEE

REGISTRATION MUST BE ACCOMPANIED BY PAYMENT

The REGISTRATION fee is not subject to refund for any reason.

Payments can be made by

To complete your membership process please submit this form.

You may choose to pay via any of the other following payment options after submitting this form.

* Money Order or Cheque made out to

Silver Blades Figure Skating Club Inc

P.O Box 138

Torrensville Plaza Post Shop,

Torrensville, SA 5031

 * Pay by Direct Deposit (Add last name as reference)

Silver Blades Figure Skating Club Inc

Bank: Westpac

BSB No: 035-002 Acc No: 31-3553

 * Pay the registration fee by PayPal(We are currently working on this option and hopefully to have it available soon )

 * Online payment by the online system with Register Now (Refer to Online Payment instructions)

The preferred method of payments are either by Direct Deposit via electronic transfer, or by an over the counter deposit at Westpac Bank. The Silver Blades Figure Skating Club Inc account is: BSB 035 002 Account number 31-3553 or Pay on line using online System.
I agree to take part in the Silver Blades Synchro at my own risk. I confirm that the details I have supplied are correct.
I do hereby consent and agree that SILVER BLADES FIGURE SKATING CLUB Inc. has the right to take or use photographs, or record video of me to use in any and all media including online, now or hereafter known, for the purpose of promoting the club. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.