CVFSC MEMBERSHIP APPLICATION

MEMBERSHIP APPLICATION

Membership Applications shall be voted on by the CVFSC Board of Directors, each new member will be notified by the Membership Chair.
Please review the memebership information prior to completing this application.
- Membership Information
Volunteer hours are mandatory for parents of CVFSC club skaters.

Parents of skaters are considered "Covered Individuals" according to USFSA and will be required to complete the Safe Sport training and background check. Therefore in order for club members under 18 years of age to be in good standing with the CVFSC, one parent will need to successfully complete the Safe Sport Training and background check. In order for adult club members to be in good standing with the CVFSC, they will need to successfully complete the Safe Sport Training and background check for themselves. USFSA allows 45 days from the starting date of membership (July 1st) to become compliant.

CVFSC board members are asking that you do this as soon as possible.
- US Figure Skating Website
APPLICANT INFORMATION
Name

First Name Last Name
Date of Birth
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Membership Status

Renewing Member New Member
U.S. Citizen

Yes No
CONTACT INFORMATION
Phone Number

Area Code Phone Number
Email
example@example.com
Parent Representative (if member is under 18)
Parent Representative U.S. Citizen

Yes No
Parent USFS#
Parent Email
example@example.com
Parent Phone

Area Code Phone Number
SKATING INFORMATION
Primary Coach
Secondary Coach
Highest Test Passed
Moves
Freeskate
Dance
Pairs

CODE OF CONDUCT/ETHICS

Each member of the Cache Valley Figure Skating Club is responsible to know and adhere to the rules, regulations, and codes of conduct and ethics of the CVFSC,the USFSA and if a coach, the PSA, as well as the Sportsmanship and Freestyle Session rules of the Eccles Ice Center and any other facility at which the club may be competing, performing, or participating in any program. Failure to adhere to the code of conduct, code of ethics, or other rules set out by the club, USFSA or PSA, consequences will result based on the policies in place by those organizations and their boards.
Us Figure Skating Safesport handbook

https://www.usfigureskating.org/content/safesport%20handbook.pdf
Signatures

As a member of the Cache Valley Figure Skating Club, I agree with the information listed in this membership packet, code of ethics and conduct, and the CVFSC Bylaws, and that I must uphold these codes. Failure to adhere to the code of conduct, code of ethics, or other rules set out by the club, USFSA, USOC SafeSport or PSA, consequences will result in actions based on the policies in place by those organizations and their boards.

I also agree to read and abide by the Freestyle Session Rules and Regulations as outlined by the Eccles Ice Center when participating in that rink’s sessions, and to register and sign an annual release of liability for use of the Eccles Ice Center facilities.

All signatures required for membership, including a Parent/Guardian if member is under 18 years of age.
Skater/Member (Codes of Conduct)
Parent/Guardian (Codes of Conduct)
Coach Member (Codes of Conduct)

MEDIA RELEASE
As a member of the CVFSC, I do hereby grant the Cache Valley Figure Skating Club the right to use my name, photograph and/or image for club sponsored activities, news, and promotions, including but not limited to ice show videotaping, the club bulletin board and club website. I would like the right to omit my (or my skater’s) name and/or photograph fromany and all publications if I choose to, on an event-by-event basis. Iunderstand that if I choose to exercise this option, I must contact the CVFSCBoard in writing in advance of the event so that arrangements can be madebefore filming and/or publishing takes place.
Skater/Member (Media Release)
Parent/Guardian (Media Release)
Coach Member (Media Release)

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

MEMBERSHIP APPLICATION

APPLICANT INFORMATION

CONTACT INFORMATION

SKATING INFORMATION

Highest Test Passed

CODE OF CONDUCT/ETHICS

MEDIA RELEASE

CVFSC MEMBERSHIP FEES