APPLICATION FOR MEMBERSHIP 2016-17

(Membership fees are due for renewal

on 1st April each Year)

Ross & Cromarty Area Sports Council

Gheibh sibh Spòrs à Spòrs!

FORM 1:

Membership Category (please tick)
Club Membership: £25.00 per annum
Individual Membership: £10.00 per annum(only available as per HC Grant procedures)
Club Contact Details
Name of Club or Individual ……………………………………………………………………………………………
Main Contact Email Addressfor Club......
Please note that this address will be used as main contact email for general emails to be sent to your club.
Secretary’s Name …………………………………………………………………………………………………….
Secretary’s Address: ………………………………………………………………………………………………….
Telephone: ...... Mobile......
E-mail:..…………………………………………………………………………………………………………….
Chairperson’s Name: .………………………………………………………………………………………………..
Chairperson’s Address :......
Telephone: ...... Mobile......
E-mail:.…………………………………………………………………………………………………………….
Treasurer’s Name ..…………………………………………………………………………………………………..
Treasurer’s Address......
Telephone: ...... Mobile......
E-mail:.…………………………………………………………………………………………………………….

Child and Vulnerable Adult Protection Policy

In order to receive financial assistance from the Highland Council all organisations that work with children, young people or vulnerable adults must have appropriate policies in place to protect them from harm or abuse. The Highland Council will carry out audits on a number of clubs each year.
Has your club established a Child andVulnerable Adult Protection Policy? YesNo
If not, please explain why not: ......
Club’s Child and Vulnerable Adult Protection Officer:
Name:…………………………………………………
Address:……………………………...... ……………………………………………Post Code ......
Contact Telephone:………………………………E-mail Address:……………………………………………………
IMPORTANT: If your club needs a Child Protection / Vulnerable Adults Policy or to make sure your own version is up to date click the Child Protection page on the R&CSC website or
Contact Kevin Thomson Area Sports Development Officer tel. no. (01463) 663808 or m. 077958 25556
Email
Club Information
Club Venue/Meeting Place:- …………………………………………………………………………………………
Day/s & Time/s of Club Activities: -...…………………………………………………………………………………….
Club Website Address: www. .……………………………………………………………………………………..
Date of Next AGM: - …..………………………......
Is your club a member of any other Local Sports Council? If so, please list which ones:-
..…………………………………………………………………………………… ..…………………………………………

No. of Adult Members:MaleFemale

No. of Junior Members:MaleFemale

No. with a Disability:MaleFemale

No. of Paid Coaches: No. of Volunteer Coaches:
Membership Restrictions e.g. age, sex …………………………………………………………………………….

Club Fees: Annual Membership

Sharing of Club Details/Information

From time to time we are asked to share the information of our club database with other public organisations or members of the public in the interests of club /sports development (including the R&C Sports Council ClubDirectory on our Website). Please tick Yes or No as to whether this information may be shared for this purpose which will help promote your club (this information will not be used for any commercial purposes).

Yes No

Payment

Cheques should be made payable to ‘ROSS & CROMARTY SPORTS COUNCIL’ and sent to the address below

Signed: ______Date ______

Cheque enclosed......

Return Address

Jim Hyslop, Treasurer RCSC, 109 Deas Avenue, Dingwall, IV15 9RP
Email address website

Ross & Cromarty Sports Council gratefully acknowledges financial support from Highland Council