St.Helens DSC Membership Application
After filling the details click on the SUBMIT button.
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indicates required fields
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Membership Type:
Club Membership
Individual Membership
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Name of club, organisation or individual:
Home Ground Address (If applicable):
When was your club formed?:
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Main Contact Name:
Position:
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Address (inc postcode):
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Telephone No:
Mobile:
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Email Address:
Website URL:
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Add my contact details to the St.Helens DSC website.:
Yes
No
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Type of Sport:
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Standard of skill:
Local
County
National
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Does your club/organisation have any qualified coaches?:
Yes
No
If yes please supply the number and qualifications.:
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Number of Male Senior Members in your club:
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Number of Male Junior Members:
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Number of Female Senior Members:
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Number of Female Junior Members:
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Number of Male Senior Volunteers:
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Number of Male Junior Volunteers:
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Number of Female Senior Volunteers:
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Number of Female Junior Volunteers:
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Do you have any disabled participants?:
Yes
No
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Do you have any members from ethnic minorities?:
Yes
No
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Is your club affiliated to a National Governing Body?:
Yes
No
If 'Yes' please supply name of NGB and your affiliate number.:
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Our club / organisation has achieved.:
National Governing Body Accreditation
Sports England Club Mark
St.Helens DSC Club Mark
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Is your club / organisation Community Amateur Sports Club Registered?:
Yes
No
After filling the details click on the SUBMIT button.
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