Online Membership Form
Please complete the fields below and click submit. Fields with * are mandatory.
Any problems, please contact the Website Administrator
Section 1: Member Contact Information
Senior member please jump to section 3, Under 18 members please complete Section 2
Section 2: Parent/Guardian Consent & Contact Information for Under 18 Members
It is a requirement of club policy that parental consent is provided for participation (junior and or adult hockey where appropriate), transportation and photography.
Dudley Ladies Hockey Club members Code of Conduct and Safeguarding and Protecting Young People in Hockey Policy are available here.
TRANSPORTATION: I consent to my daughter travelling to venues for matches and training by transport provided by the club which may include travelling in other players private cars.
PHOTOGRAPHY: In some environments, particularly adult competition it is impossible to control photography by external parties, however, I am aware that there maybe times that photographs and/or footage maybe taken during matches and training sessions by approved agents and/or officers of Dudley Ladies Hockey Club. Such images shall only be used for publicity/training purposes in accordance with Dudley Ladies Hockey Club Safeguarding and Protecting Young People in Hockey Policy and Photography Policy and give consent for my daughter to feature in such photos/ images. I hereby only grant approved agents the right to use the images resulting from the photo/film shoots. This includes any reproductions or adaptations of the images for all general purposes ie local newspapers, local magazines, other promotional articles (inc. flyers) and the club’s website.
Section 3: Medical Information
(To be completed by PARENT or GUARDIAN if under 18)
In case of emergency and as part of the club’s responsibility to its membership, ALL club members are required to complete this medical information form as accurately as possible. Details will be held securely with access restricted to authorised club officers only.
Section 4: Ethnicity & Disability
Whilst it is not compulsory for the following sections to be completed, the paragraph below explains why this personal information is considered to be important.
Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have existed within sport particularly in relation to gender, race and disability. Sport England and England Hockey are committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of people in sports clubs, national governing bodies of sport and Sport England can identify any issues relating to under representation of different groups and can develop strategies to ensure that all people have the opportunity in the future to develop and progress in sport.
England Hockey requests this data from clubs as part of the annual affiliation process and completing this data accurately enables the club to give an accurate picture to England Hockey on our membership.
Section 5: Membership Type
ALL MEMBERSHIP FEES TO BE PAID BY 31ST OCTOBER 2021
In recognition of the price rise, the committee have authorised the payment of membership in instalments: 3 x £30 (or 3 x £15 for concessions) to be paid at the end of August, September and October, or 2 x £45 payments (2 x £22.50 for concessions) at the end of September and October.
After 31st October, membership fees for adults will rise to £100 (£50 for concessions).
MATCH & TRAINING COSTS:
Saturday match fee: £10.00 - this includes training for the following week
Sunday match fee: £5.00 (if already played on the Saturday)
Training fee: £5.00
Mileage costs shall be paid at a rate of £0.15p per mile travelled, after the meet point. Any driver expecting these costs shall be required to carry at least three hockey players, including themselves. Any players wishing to travel to matches of their own accord will NOT qualify for these expenses.
If you select to pay via Bank transfer and do not already have the clubs bank details, please contact the Treasurer here
Section 6: Declaration
By becoming a member of Dudley Ladies Hockey Club you agree to follow and abide by relevant codes and the club constitution.
The club constitution can be found here and should be read before signing as a member of Dudley Ladies Hockey Club.
The constitution may be updated or reviewed during the course of a season by the committee, and members will be informed of any changes.
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