Name *

First Name

Last Name

Please tick boxes below to confirm: *

If you are not a member, please complete the membership application form on the Become a Member section of the website first

British National

Existing member of LSC

I have just submitted my application for membership of LSC

I am over the age of 16

Declaration *

To the best of my knowledge the information I have supplied in this form is correct. Any grant awarded by LSC will only be payable when proof of expenditure has been provided.

I give permission for LSC to (a) record the information given in this form electronically and to contact me by phone, email or post in connection with this application; and (b) if my application is successful, to include details of the grant on its website, bulletin, social media, annual report etc.

I agree to advise LSC immediately if, at any time before an award is made to me, there are any significant changes in my circumstances or in the information given by me in this form.

I agree to remain a member of LSC for a period of at least 3 years after I have received an award

End of season report and promotion on social media *

If my application is successful I will provide LSC with an end of season report on my progress and will help promote LSC on social media

I give permission to LSC to use any material provided in my end of season report, including photographic material, to assist in promoting the club, for example in the Bulletin, on the website or on social media.