UK Roller Skating Club
Submission Form

(Please complete as much informations as needed)

(Please enter you details even is you are not an official of the club, so we may contact you if needed)

Name*:     
Email Address *:
First Name, Last Name and Email fields are required
Yes
No
Do you want your Email address to be published?
Club details: (Please fill in ONLY the details you wish to be published)
Club Name* :
The Secretary :
Address :
County :
Post Code :
Tel :
Fax :
Email :
Is the club is affiliated to the FARS?   Yes   No
The Club's Training Venue
Club Venue :
Address :
County :
Post Code :
If you give the full & correct post code we will link your listing to a map so visitors can see how to get to your skating venue
Tel :
Fax :
Email :
The Trainer(s )
Trainer 1 :
Contact Info :
ATD Member
Trainer 2 :
Contact Info :
ATD Member
Trainer 3 :
Contact Info :
ATD Member
Trainer 4 :
Contact Info :
ATD Member
Where did you hear about this Web Site?
If other please state
Click the send button to post the details