SoSkAn Family Membership Application & Renewal Form ( £50.00 )
Full Name
Address
Postcode
Phone Number
Mobile Number
Email Address

Please list all family members with dates of birth (if under 18) in dd-mm-yy format

EG:William Smith 14-02-95
Continue to Parent Guardian Permission below  
Parent or Guardian's Permission for Family Members under 18 years of age.
Parent or Guardian's Full Name* - (If different from above*)
Relationship to young persons
Address* - (If different from above*)
Postcode*
Phone Number*
Mobile Number*
Email Address*
If the young person under 18 years old wishes to take part in battle re-enactments, their parents or guardian must check the box right marked 'I understand'.

You the person named above right do confirm that you are the Guardian or Parent of the young person named above and understand that Re-enactment could involve significant risk. After due consideration you give your permission for him/her to attend re-enactment events and participate on the battlefield under the Association's Rules & Regulations and Code of Conduct. To read our policy on young people please click here
Continue below  
First Aid or Medical Qualifications (All Applicants To Complete)
If you have any First Aid or Medical Qualifications which you would be prepared to use at an Association event please state them here. If none then please state none.
Continue below  
Medical Requirements
For your personal safety, details of any medical conditions that may need medical aid whilst attending any Association activities should be given to the First Aid Co-ordinator. These details will be kept confidential and only made known to our First Aiders on a need to know basis.
Continue below  
Firearm or Shotgun Certificates (All Applicants To Complete)
Please tell us about your weapon licenses. If you do not hold a license please choose 'None Held'.
If you or any person liste on this form hold either a firearm or shotgun certificate please list the holder, the number(s) and the issuing Police Force and expiry dates here please.

EG: Colin Simms Shotgun Certificate No SN123456789 Wiltshire Police Exp 31-12-2012
If you are prohibited from holding either a firearm or shotgun certificate please check the box .
Continue below  
Black Powder Licence (All Applicants To Complete)
Please tell us about your Black Powder certificate. If you do not have one please choose 'None Held'.
If you hold a black powder licence please list the type of licence, the number and issuing Police Force and expiry date here please.

EG: Colin Simms Acquire & Keep Wiltshire Police Cert No BP987654321 Exp 31-12-2012
If you are prohibited from holding a black powder licence please check the box.
Continue below  
Selecting A Regiment (All Applicants To Complete)
Have you been recruited into a regiment already?
If not, have you chosen a specific unit to join? If you don't mind which unit you join just choose from either Confederate or Union Regiments & we will allocate you to the most suitable to your location etc.
Continue below  
Terms & Conditions (All Applicants To Complete)
By checking the box (right) I / We agree to abide by the Rules and Regulations, Code of Conduct, the Health & Safety obligations of the Association and the decisions of the Executive Committee, and that my membership may be revoked at any time should I fail to do so. I understand that I take part in any Southern Skirmish Association event at my own risk, and understand that the Association is covered by Public Liability Insurance only (for injury to a third party). I understand that all details on this form may be kept on computer by the Membership Secretary in accordance with the Data Protection Act 1984 and will only be used as registered with the Data Protection Registrar.
I confirm that all the details I have included above are true and honest
For any additional membership queries please complete this box
 
This form may only be completed by an adult over 18 years of age. A printed copy of this from will be sent out to you for signature in due course.
Please help us to help you and complete all the fields. To protect your privacy SoSkAn do not share information with any other parties.