ISSNZ Registration Form 2020
Please read the ISSNZ Constitution, Regulations and the Code of Conduct which can be found on the ISSNZ website www.icespeedskating.org

Complete all sections of this form and submit. Payment can be made to your Club who will forward to ISSNZ. You must be a member of a club affiliated to ISSNZ before your registration can be processed.

Privacy Act information: By filling in this form you agree to the following:

- I consent to the collection of the above details to be used by Ice Speed Skating New Zealand for the purposes of administration and for it to be retained, used and disclosed to sponsors, funding agencies and media (name, club and age only). I acknowledge my right to the access and correction of this information. This consent is given in accordance with the Privacy Act 1993.

- I / We agree to be bound by the ISSNZ Constitution, Regulations and Code of Conduct.
Registration Type and Fee *
Surname (Family Name) *
First Name *
Address incl. postcode *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home Phone *
Bus. Phone
Mobile
Email Address *
Club Represented *
NZ Status *
Submit
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