MISC 2026 Membership Form

2026 MISC Membership Form
Membership Type*

Skater Membership $50Aussie Skate Membership $ 30Non-Skater Membership $20Family Membership $70
Number of Family Members (including Primary Member)
Member Information
Members Name (Primary Family Member Name)*

First NameLast Name
DOB*

DayMonthYear
Gender*
Family Member 2 Name

First NameLast Name
Family Member 2 DOB

DayMonthYear
Family Member 2 Gender
Family Member 3 Name

First NameLast Name
Family Member 3 DOB

DayMonthYear
Family Member 3 Gender
Family Member 4 Name

First NameLast Name
Family Member 4 DOB

DayMonthYear
Family Member 4 Gender
Family Member 5 Name

First NameLast Name
Family Member 5 DOB

DayMonthYear
Family Member 5 Gender
Family Member 6 Name

First NameLast Name
Family Member 6 DOB

DayMonthYear
Family Member 6 Gender
Contact Information

Please complete this with the contact information to be used for correspondence for this membership. This will be the parent/guardian information for members under 18.
Contact Name same as Member Name

YesNo
Contact Name*

First NameLast Name
Relationship
eg Self, Parent, Guardian etc
Contact Email*
example@example.com
Contact Mobile*
Please enter a valid phone number.
Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Mobile*
Please enter a valid phone number.
Membership Questions
Membership Payment
Payment Amount

Payment Processing

AUDMembership Cost

2026 MISC Membership Form