JUNIOR MEMBERSHIP 20-21

Please complete this application form to re-register your child for Southgate Juniors.
If you not already a member, please do not complete this until you have received an invitation to join.
If you have more than one child playing, there is space at the bottom for Player2 and Player3.
Once you have completed the form, please go to the payment page to calculate and pay your membership fees.
If you have any queries, please contact juniors@southgatehc.org.uk

Please ensure you have read the Club Rules and Code of Conduct HERE before signing up for the season.

All players need to have signed up to the England Hockey Participation Agreement. You only need to do this once.

Junior Membership Form

Player1 First Name

Player1 Surname

Player1 Date of Birth dd/mm/yyyy

Player1 Gender

Player1 School

Player1 Relevant Medical History *

Player1 Email address if over 12 (optional)

Player1 mobile number if over 12 (optional)

Address1

Address2

Address3

Postcode

Parent1 first name and surname

Parent1 phone

Parent1 email address

Parent1 Occupation

Parent2 first name and surname

Parent2 email address

Parent2 phone

Parent2 occupation

Emergency contact & phone number

Communication Consent

Yes

Information and details about hockey activities, training times, matches etc are done by email and social media. Occasionally by post. I confirm I am happy to receive these messages.

Members Card Consent

Yes

A Southgate Hockey Centre Membership Card will be issued to each player which will entitle you to members rates at the bar. Child name, DOB, Parent name and parent email will be passed to the Centre Administration so cards can be issued. This information will be used for identification only

Photo Consent

Yes

From time to time we may take photographs of the children playing hockey. These are available to parents and children and may occasionally be used in promotional material. Please let us know if you have any concerns regarding this.

Risks of playing hockey

I understand

Hockey is a physical and demanding sport and as such there are inherent risks of injury and occasional injuries do occur. We recommend that you wear shin pads and a gum shield. The individual participants must take responsibility for themselves and other people. If you have a history of any medical impairment or do not regularly indulge in physically active sports, then you should seek medical advice before participating. If you suffer from any allergies, and particularly nut allergies, please let us know. Neither the club nor any individual can be held responsible for any injury or medical problem caused or aggravated by your participation in hockey

EH Participation Agreement

Yes

I have read and signed up to the England Hockey Participation Agreement

Code of Conduct *

Yes

I have read and understood Southgate Code of Conduct.

Player2 first name

Player2 Surname

Player2 DOB dd/mm/yyyy

Player2 Gender

Player2 Relevant Medical Information

Player2 School

Player2 Mobile Number (if over 12)

Player2 email address (if over 12)

Optional

Player3 First Name

Player3 Surname

Player3 Date of Birth dd/mm/yyyy

Player3 Gender

Player3 Relevant Medical Information

Player3 School

Player3 email address if over 12 (optional)

Player3 mobile number if over 12 (optional)

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JUNIOR MEMBERSHIP – NEW TO THE CLUB

Please select from the below options if your child is NEW to the Club and this is their first season playing with us.

New Joiner - U12 Subs - £210

New Joiner - O12 Subs - £250

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

U12 New Joiner pay £150 today and then £60 in January.

O12 New Joiner pay £180 today and then £70 in January.

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JUNIOR MEMBERSHIP – NEW TO THE CLUB – SIBLING

Please select from the below options if your child is NEW SIBLING to the Club and this is their first season playing with us:

New Joiner Sibling - U12 Subs - £189

New Joiner Sibling - O12 Subs - £225

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

U12 New Joiner Sibling pay £135 today and then £54 in January.

O12 New Joiner Sibling pay £165 today and then £60 in January.

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JUNIOR MEMBERSHIP – RETURNING JUNIOR

Although the lock down came close to the end of the season, Juniors last season missed out on their Summer Term of Sunday morning hockey. This term is relatively short but nevertheless an important part of our hockey year. In recognition of this and understanding that these times are difficult for many, the Management Committee have agreed that the Juniors can receive a 10% reduction on their Junior Fees when renewing their membership 20-21.

We hope this offer is well received but also we hope you do not mind us suggesting that, to those who can, please consider donating the reduction back to the Club by paying the full Subs in the normal way. This will allow for funds to be built up and invested for the future of Southgate Hockey Club.

Please select from the below RED BUTTONS if your child played at the Club last season and you would like to take advantage of the reduced fee due to LOCKDOWN RESTRICTIONS over the Summer.

If you would like to donate the 10% reduction in your fee back to the club for the coming season, please sign up on the below BLACK BUTTONS.

Current Junior - U12 Subs with 10% Discount - £189

£210 - U12 Junior - I would like to pay the FULL amount and donate my discount to the Club!

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

U12 Current with 10% Discount pay £120 today and then £69 in January.

I want to donate my 10% Discount – U12 Current Junior pay £150 today and then £60 in January.

Current Junior - O12 Subs with 10% Discount - £225

£250 - O12 Junior - I would like to pay the FULL amount and donate my discount to the Club!

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

O12 Current with 10% Discount pay £165 today and then £60 in January.

I want to donate my 10% Discount – O12 Current Junior pay £180 today and then £70 in January.

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JUNIOR MEMBERSHIP – RETURNING JUNIOR SIBLING

Please select from the below RED BUTTONS if your child played at the Club last season and you would like to take advantage of the reduced fee due to LOCKDOWN RESTRICTIONS over the Summer.

If you would like to donate the 10% reduction in your fee back to the club for the coming season, please sign up on the below BLACK BUTTONS.

Current Junior - U12 Sibling Subs with 10% Discount - £170

£189 - U12 Junior Sibling - I would like to pay the FULL amount and donate my discount to the Club!

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

U12 Sibling Current with 10% Discount pay £120 today and then £50 in January.

I want to donate my 10% Discount – U12 Sibling Current Junior pay £135 today and then £54 in January.

Current Junior - O12 Sibling Subs with 10% Discount - £202.50

£225 - O12 Junior Sibling - I would like to pay the FULL amount and donate my discount to the Club!

To Pay in two installments please pay on the below link and we will send you the second payment link in January 2021:

O12 Sibling Current with 10% Discount pay £150 today and then £52.50 in January.

I want to donate my 10% Discount – O12 Sibling Current Junior pay £165 today and then £60 in January.

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We know that times are strange and sometimes paying everything up front can be tough. If you would like a Direct Debit Payment option set up with multiple family members please feel free to contact us on southgatehc.membership@gmail.com and we can look at something to suit.