NPRSC - MEMBERSHIP 2020
TTHIS FORM IS ONLY FOR ROLLER DERBY AND RINK HOCKEY.
Membership details for Rink Hockey, Roller Derby and those interested in supporter membership of the New Plymouth Roller Sports Club.
Membership Fees are
$55 per year for a member who skates and uses facility for training and competition on a regular / annual basis
$10/$15 for a single or couple interested in being a non skating supporter member

IN ADDITION each branch may set a "branch" fee and will also notify of a "national" body registration fee.

Members are governed by a code of conduct for both the club and their respective skate code.
Membership may be refused without reason by the Main Club Executive on recommendation from the code the registration is made through.

Each code may have additional information they wish to collect.
This form is NOT for use by INLINE HOCKEY OR FIGURE SKATING MEMBERS taking part in competitive leagues or sanctioned events in the year of registration. These two skating codes utilise their own "Sporty' online portal.

If you require access please email skatesport.taranaki@gmail.com for the links. These are also listed on the club website www.skatesport.org.nz under registration tab.
Please provide information as requested below to assist us with our club record keeping
Email address *
Untitled title
MEMBERSHIP REQUEST FOR WHICH CODE *
Required
FIRST NAME *
Your answer
LAST NAME *
Your answer
DERBY NAME (DERBY MEMBERS ONLY)
Your answer
EMAIL ADDRESS *
Your answer
MOBILE AND/OR LAND LINE *
Your answer
FULL ADDRESS *
Your answer
YEAR OF BIRTH *
Your answer
MONTH OF BIRTH *
DAY OF BIRTH *
Your answer
A copy of your responses will be emailed to the address you provided.
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