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New Member Registration/Renewal
Please note that on submission you will be required to confirm your email address to activate your membership. To do this, simply click the link in the email you will receive. After clicking this link you will be taken to our PayPal payment gateway and will then be returned to this site after successful payment. If this payment is not completed, your membership will be invalid and you will not be able to participate in club events.
Membersip NEW RENEWAL Membership type Single - $50 Family - $80

 First Name

Second Name
 Date of Birth Gender Male Female
 Address Suburb
 Postcode Mobile
 Email

 First Name

Second Name
 Date of Birth Gender Male Female
 Address Suburb
 Postcode Mobile
 Email

 First Name

Second Name
 Date of Birth Gender Male Female
 Address Suburb
 Postcode Mobile
 Email
Receive correspondence via electronic means? Yes No
Do you have ambulance cover? Yes No

If not, do you give CSC permission for an ambulance to be called in case of emergency? This decision will be made by the coach running the training session at the time of the incident.

Yes No
For insurance purposes, are you an Australian citizen? Yes No
If not, what is your nationality?
Are you a permanent resident? Yes No
Date permanent residency commenced?

I/We consent for any image, likeness, animation or video to be used for club activities for promotion, marketing, information provision and online rotation via the club web site. I can contact the club and request that an image not be used for a particular purpose.


Yes No
Desire to apply for membership of the Caribbean Speed Club Inc.
In the event of my admission as member, I will conduct myself and endeavour to ensure others in my company conduct themselves in a proper and reasonable manner. I agree to conduct the majority of my training with Caribbean Speed Club Inc. (CSC Inc.) and will support and promote the club. In the event of an invitation to train with another club, I agree to discuss this prior with the coaches and committee at CSC Inc. and I acknowledge that failure to do so may terminate my membership without notice.
I agree to be bound by the Club constitution (Rules), Policies and By-laws and Code of Conduct, as well as the conditions of entry and rules of conduct of Caribbean Rollerama (the rink). This includes paying appropriate entry fees to the rink for any general session preceding or following a training session. The Committee reserves the right to revoke membership if members do not abide by these rules. The Committee also reserves the right to make changes to and adjust these rules when necessary.
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