PNSC MEMBERS ONLY PAGE

2020 ASA MEMBERSHIP PAYMENT

2020 Fees NOW OVERDUE – LATE FEE OF £5 APPLIES

Swimmer’s Category 2 membership – for all swimmers in Dolphins and up squads is £42.00 per swimmer to include £5 late fee

ASA Category 1 Membership is £22.00 Swimmers who do not compete in open competition but take part in club events are required to have Category 1 ASA Membership. Category 1 Membership is ONLY for those swimmers in Club 1 and Club 2 Squad and non competitive Masters swimmers.

ASA Category 3 Membership is £12.00 – required for officials, team managers etc.

FEES WERE DUE BY 20TH DECEMBER 2019 – LATE PAYMENT / FORMS WILL NOW INCUR A £5.00 ADMIN FEE.

PNSC MEMBERSHIP FORM 2020

PLEASE COMPLETE A FORM FOR EVERY SWIMMER OR PARENT MEMBER

You are required to update your details annually so we can ensure we have the latest contact details on file.

CLUB RULES / POLICIES

Signing the membership form confirms you have read and confirmed understanding of our rules, codes of conduct and fees policy.
These rules and policies (amended from time to time as approved by the committee) shall govern your membership of the club.

• CLUB RULES
• CODE OF CONDUCT
• FEES POLICY

ASA MEMBERSHIP FORM SUBMISSION

* indicates required field

Swimmers (or Member) Name*

Enter the member's FULL name. Use this field for parents name for applications for CAT 3 membership only.

Squad

PARENT (CAT 3 MEMBER) Dolphins Mountbatten Academy Eastney Academy Junior 1 Junior 2 Junior 3 Junior Development Junior Competitive Junior Potential Potential 1 Potential 2 Junior Performance Senior Performance National Squad Masters Club

Parent / Guardian Name*

N/A for category 3 members

Relationship to swimmer

Email:*

Confirm Email Address*

Primary Telephone Number

Please add your first point of contact for the club

One mobile phone number is required for all swimmers for emergency contact.

Mobile phone number:*

2nd Emergency Contact Name

2nd Mobile phone number:

This number will only be used in emergencies.

2nd Email (only complete if you wish to receive club emails)

Full Address including postcode

Is this the only swimming club the swimmer is a member of?

YES NO

Name of other club

THE FOLLOWING FOUR FIELDS ARE FOR PHOTO/FILMING CONSENT ARE FOR CAT 1 AND CAT 2 MEMBERS ONLY:

I agree you may take photographs of my child to use on PNSC's website / social networking / notice board

I agree you may take photographs of my child for use in newspaper articles and press releases

I agree you may film my child for trainging purposes only

Employ a professional photographer to take photographs of my swimmer at competitions / events and promotional material

THIS FIELD IS APPLICABLE TO *ALL* MEMBERS:

I have read the rules, code of conduct and fees policy of the club and confirm my understanding.*

** PLEASE READ NOTE BELOW ABOUT PAYMENT FOR ASA FEES! **

Payment Method

PayPal CASH/CHEQUE TO OFFICE

IMPORTANT NOTE: The club ask that you make payment via the PayPal link at the bottom of this page. You DO NOT need a PayPal account and it can be treated like any normal online payment checkout page with the guest checkout. Alternatively you need to pay by cash or cheque at the office.

I am the swimmers parent/guardian (if under 18)

Signature*

Your full name acts as signature for this form.

Date

CAPTCHA Code:*

WHEN THE FORM HAS SUBMITTED PLEASE MAKE YOUR PAYMENT

PAYMENTS VIA PAYPAL CAN BE MADE HERE:

IMPORTANT Please ensure you select the correct category of membership from the drop down menu!

** Using the PAYPAL payment check out page is EXACTLY the same as using any other online checkout page. You DO NOT need a PayPal Account!! Check out as a guest if you do not have an account. If you do not want to use PayPal you must complete a membership form at the office and pay by cash or cheque. Details below. **

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ALTERNATIVE PAYMENT METHODS

The club would prefer you use the online check out page via PayPal to ease our admin burden reconciling payments.  Alternatively you may pay by cash or cheque at the office.