CCFSC 2026 Membership Form

Member Information

Members Name

First NameLast Name

DOB

Age

Gender

Were you a CCFSC Member prior to 2026?

Address

Street Address

Street Address Line 2

SuburbState

Postcode

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

Contact Name

First NameLast Name

Relationship

eg Self, Parent, Guardian etc

Contact Email

example@example.com

Contact Mobile

Please enter a valid phone number.Format: 0000000000.

Emergency Contact

Emergency Contact Name

First NameLast Name

Emergency Contact Mobile

Please enter a valid phone number.Format: 0000000000.

Membership Questions

PARENT’S CODE OF BEHAVIOUR• Encourage children to participate and have fun.• Focus on the child’s effort and performance rather than winning or losing.• Never ridicule or yell at a child for making a mistake or losing a competition.• Remember that children participate in sport for their enjoyment, not yours.• Encourage children to participate, do not force them.• Encourage children to play according to the rules and to settle disagreements without resorting to hostility or violence.• Remember children learn best by example. Appreciate good performance and skilful moves by all participants.• Support all efforts to remove verbal and physical abuse from sporting activities. Respect Officials’ decisions and teach children to do likewise.• Show appreciation of volunteer Officials and administrators.• Respect the rights, dignity and worth of every young person regardless of their gender, ability, cultural background or religion.By signing this document you confirm that you have read and agree to the Skater’s Code of Conduct

Still/Video/Digital Photography PermissionCCFSC may wish to publish visual and/or audio recordings (media, photos, videos) of your child on:CCFSC websiteCCFSC social media channels (incl. but not limited to Facebook and Instagram)CCFSC promotional materials and digital media (incl. but not limited to local news media, magazines, etc)I,give permission for CCFSC to use my/my child’s image on the internet and/or publication

Membership Payment

Submission Date

Date

Are you using an Active Kids Voucher for this membership?

Please enter the Active Kids Voucher Code.

Membership Payment Due

Membership Payment Due $

Active Kids Voucher Credit

Active Kids Voucher Credit $

Administration Fee

Administration Fee $

Total Payment Amount

Total Payment Amount $

Payment Details

AUDDescription

Credit Card

Voucher (Admin Use Only)

2026 CCFSC Membership Form

Payment Details

Credit Card