Membership registration for ESM Hockey Club

Which of the following are you? *

A Senior Section member/applicant

A parent/guardian of a Youth Section member/applicant

Please tick each that applies

ESMHC greatly values the involvement of young people in hockey and is committed to ensuring that everyone has fun and stays safe whilst participating in the sport.

To help us fulfil our joint responsibilities for keeping young people safe, ESMHC follows sportscotland’s Safe in Care Guidelines, which determine the information we request from you when registering youth members with the Club.

Your website credentials

Your email address *

If you use a spam/junk email filter, please add the domain esmhc.com to your list of approved senders

Confirm Your email address *

Please confirm your email address

Your password *

Eight characters minimum One lowercase letter One uppercase letter One number One special character

Confirm Your password *

Please confirm your password

Your contact details

Your first name *

Please provide names (not initial) and don’t use ALL CAPS

Your last name *

Please don’t use ALL CAPS

Your address *

Your address

Post code

City

Country

Your mobile phone number *

Please use only numbers with no spaces or dashes

Your home phone number

Please use only numbers with no spaces or dashes

Your work phone number

Please use only numbers with no spaces or dashes

Youth Section member details

Please add details of each youth member’s registration

First name *

Please provide name (not initial) and don’t use ALL CAPS

Last name *

Please don’t use ALL CAPS

Date of birth *

This can be typed in the format DD/MM/YYYY

Age years

This is automatically calculated

Gender *

Female

Male

League rules constrain gender ratios in mixed matches

School year *

For the season to which this registration applies. For details of membership subscriptions, see the Joining page. Subscriptions cover one season.

Training day

This is automatically determined

Training day

This is automatically determined

Training day

This is automatically determined

Training day

This is automatically determined

Training day

This is automatically determined

Basic membership subscription: £

This is automatically calculated

Is this member new to the Club this season?

No Yes

Is (s)he joining from another Scottish hockey club?

No Yes

If so, we will ask Scottish Hockey to transfer his/her registration

From which club is (s)he joining? *

We will provide this information to Scottish Hockey to facilitate the transfer process

Will this member be attending goalkeeping training in addition to year group training?

No Yes

Does the youth member have any medical conditions about which coaches should be aware?

No Yes

This includes any medication, treatment, existing injuries or allergies to medicines (including anaesthetic)

Medical condition(s) *

Please provide as much detail of medical conditions as required to ensure the safety of the youth member. This information will be held in strict confidence.

Do you consent to this youth member being transported by or on behalf of ESMHC to participate in hockey?

No Yes

ESMHC will ask private vehicle drivers to confirm they are properly licensed and insured before allowing them to transport members

Do you consent to ESMHC capturing and publishing photographs and/or video of this youth member for the purposes set out in the Club’s Privacy Policy?

No Yes

For example, the Club publishes photos/video of matches, training sessions and other events on its website and social media. ESMHC carefully considers related safety and privacy issues. For example, young children are not named in image captions/posts and where appropriate in the context, only older children’s first names are used.

Add a sibling Remove

Secondary email address

This will apply only to emails relating to Youth Section members

Would you like emails from the Club to be copied to a second email address (e.g. a second parent/guardian)?

No Yes

Please confirm that you have explicit consent from the recipient for the Club to send messages to this secondary email address *

No Yes

Please confirm that you consent to the Club sending information by email to the secondary email address you provide *

No Yes

Secondary email address *

If a spam/junk email filter is used, please add the domain esmhc.com to the list of approved senders

Confirm Secondary email address *

Please confirm the email address

Alternate Emergency Contact details

We recommend that you provide details of an alternate contact – for example another parent/guardian, a grandparent or a child carer – in case the Club is unable to reach you in an emergency

Please confirm that you have obtained explicit permission to provide his/her details to the club

No Yes

Emergency contact name *

Relationship to youth member(s)

For example, parent, grandparent or child carer

Emergency contact mobile number *

Emergency contact work phone number

Emergency contact home phone number

Contributing to the Club community

We are fortunate to have many members and parents/guardians of youth members who support the Club in a variety of ways. There is no pressure to make big commitments, but it is helpful to know if you may be able to help with any of the following, however occasionally.

Payment

Senior membership subscription total £

This is automatically calculated

What is your preferred payment schedule? *

A single payment by bank transfer

Five equal monthly instalments by Standing Order

You have elected to pay your subscription by Standing Order in five equal monthly instalments of: £

This is automatically calculated

Standing orders should be set up to make first payment by 31st August, with four further instalments falling due before the ends of September, October, November and December. Please note that payment by monthly instalments is available only for Senior Section subscriptions.

Youth membership subscription(s) total £

This is automatically calculated

I confirm that I will promptly arrange payment to ESMHC *

No Yes

Please use your full name as the reference. New members are entitled to attend two trial training sessions before making payment.

If you are are registering on the website for the first time, you should first receive an email with a link to confirm your email address.

You should receive a confirmation email, which includes the Club’s bank account details. If you are due to make a payment, please make it promptly, using your full name as the reference. New members are entitled to attend two trial training sessions before making payment.

As you are both a Senior member/applicant and a Youth member parent/guardian, please note that the bank details for the Senior Section and Youth Section are different. Thank you for making separate payments, using your full name as the reference in both cases.

If you do not receive the expected email(s) from us, please first check your spam/junk mail folder and then if necessary contact us. Please also add the domain esmhc.com to your list of approved senders.

Declarations

Please make a final check of the details you have provided. In particular, please check that transport and photograph/video consents have been provided, where you are happy to give these.

Do you consent to the use of the data you have provided as described in ESMHC’s Privacy Policy? *

No Yes

Do you consent to ESMHC using your email address to contact you for the purposes set out in the Club’s Privacy Policy?

No Yes

ESMHC requires to use your email address to communicate with you for membership administration purposes. You can opt out of other communications at any time.

Do you agree to ESMHC’s Code of Conduct? *

No Yes

I consent to the above declarations *

Clear

Click the keyboard icon if you’d prefer to type your signature

Name of parent/guardian co-signing declarations *

As parent/guardian of the member/applicant, I consent to the above declarations *

Clear

Click the keyboard icon if you’d prefer to type your signature

Finally, your feedback…

How could it be improved? *

Please provide any specific suggestions. Thank you.

If you are human, leave this field blank.

Membership registration

Your website credentials

Your contact details

Senior Section member details

Youth Section member details

Secondary email address

Alternate Emergency Contact details

Contributing to the Club community

Payment

Declarations

Finally, your feedback…

Information

People

Policies