Singapore Ice Skating Association - Official Website
Saturday, May 19, 2012
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Online Membership Form
SISA INDIVIDUAL MEMBERSHIP FORM
PERSONAL DETAILS
Family Name:*
Given Name:*
NRIC/FIN/PP NO.:
Nationality:*
Singapore PR:*
Yes
No
Citizenship:*
Place of Birth:*
Date of Birth
(DD/MM/YYYY):*
Height (cm):
Gender:*
Male
Female
Occupation:
Marital Status:*
Single
Married
Education Level:
School:
CONTACT DETAILS
Address:*
Postal Code:*
Tel:
Mobile*
Email:*
Fax:
DISCIPLINES
Discipline:*
Figure Skating
Short Track
Non-Skater
Recent Level Competed in Singapore Nationals or Highest SISA Test Level:*
Future Stars 1
Junior
Future Stars 2
Senior
Preliminary
Adult Master
Elementary
Adult Gold
Novice A (Pre-primary)
Adult Silver
Novice B (Primary)
Adult Bronze
Novice Advanced
N.A
You are an/a:*
Existing Member
New Member
Status:*
Skater
Coach
Parent
Others
Home Club:*
All Stars Figure Skating Club
Tropical Blades Ice Skating Club
Champions Ice Skating Club
Ice Angels (Friends of Ice Skating)
Speed Skating Club
Club Membership Number (If Any):
CATEGORY OF MEMBERSHIP
PHOTO OF YOURSELF
(Optional)
Individual Members - S$45
File Size:
2000KB Maximum
File Types:
.jpg .jpeg .jpe .gif .png .pdf
*PLEASE NOTE THAT ANNUAL MEMBERSHIP SUBSCRIPTION EXPIRES YEARLY ON 31 MARCH.
Please enclose a crossed cheque payable to "
SINGAPORE ICE SKATING ASSOCIATION
"
MAIL TO:
THE MEMBERSHIP DIRECTOR
BLK 317B ANCHORVALE ROAD
#04-238
SINGAPORE 542317
NOTE:
Your
SISA
membership will be subjected to:
1) receipt of your payment by SISA within 5 working days from the date of your membership form submission.
2) verification of your
club
membership by the respective clubs. Please ensure that your
club
membership is current.
Submit
* Required
Partners
International Skating Union
Asian Skating Union
Singapore Sports Council
Singapore National Olympic Council
" This website is developed with co-funding support from the VWOs-Charities Capability Fund (VCF) "
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