Membership

First Name	Last Name	Birth Date	Age	Gender

Type of I.D. & No:

National IDPassportDriving permit

ID Number:

Next of Kin Name	Mobile Number	Relationship

Why do you want to Skate? Why do you want to be part of our team?	How will you be able to increase the image of skating in Uganda?

Skating Club Membership Registration Form

Name	Contact Address	Phone	Email

Skating Experience	Skating Level

Preferred Skating Discipline

Membership Type	Membership Term
Junior (under 18)Senior (18 and over)Family	AnnuallyAfter 3 yearsAfter 5 years

Membership Fee: UgX 100,000

Payment Method	Payment Frequency
CashChequeMobile Money	One-time paymentRecurring payment (installments)
Mobile Money Details (If Applicable)

Name	Phone	Relationship

I acknowledge that I have read and understood the skating club rules and accept full responsibility.