New Club Membership Application 2024-2025 Form for a new member joining the Club in 2024-2025 season Step 1 of 5 20% Please select a membership category from the following:*Click here to learn more about our Membership Categories Introductory Family Single U.S. / World Championships Competitor Officials Team Friends of the Club Please provide the name of the team you will be participating in:*Note: If you are submitting an application for multiple Team memberships, a separate entry must be completed for each applicant. Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is this your mailing address?* Yes No Mailing Address* Street Address/P.O. Box Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary Email Address* Primary Phone Number* Adult CandidatesHow many adult candidates wish to apply?*Note: For those applying for a Team membership, at least one adult candidate must be included as the responsible billing party if the team member is under the age of 18. 1 2 Name of Primary Adult Candidate* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Birthday* MM slash DD slash YYYY Occupation Employer Email Mobile PhoneWould you like to opt-in to the Club's text-message alert system?* Yes No Please provide the name of your phone's service carrier.*Ex. Verizon, T-Mobile, AT&T, etc. Would you like to register this individual for a U.S. Figure Skating membership? (This is required to skate on all Club sessions.)* Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Name of Additional Adult Candidate* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Birthday* MM slash DD slash YYYY Occupation Employer Degrees Email Mobile PhoneWould you like to opt-in to the Club's text-message alert system?* Yes No Please provide the name of your phone's service carrier.*Ex. Verizon, T-Mobile, AT&T, etc. Would you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Youth CandidatesHow many youth candidates wish to apply?*Note: Please select none if you are applying for an individual-based membership and you are over the age of 18. None 1 2 3 4 5 Youth Candidate (1)*NameBirthdayWould you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Youth Candidate (2)*NameBirthdayWould you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Youth Candidate (3)*NameBirthdayWould you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Youth Candidate (4)*NameBirthdayWould you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Youth Candidate (5)*NameBirthdayWould you like to register this individual for a U.S. Figure Skating membership?**U.S. Figure Skating memberships are required to skate on ice at The Skating Club of Boston. Yes No I already have a U.S. Figure Skating membership. What U.S. Figure Skating membership category would you like to choose?*Click here to learn more about U.S. Figure Skating's membership categories. Introductory ($30) Subsequent Introductory ($24) First Family ($60) Subsequent Family ($24) Collegiate ($70) Vehicle RegistrationHow many vehicles would you like to register with the Club?* 1 2 Vehicle 1 InformationColor* Year* Make* Model* License Plate Number* Vehicle 2 InformationColor* Year* Make* Model* License Plate Number* Membership AgreementI have received, read and understand The Skating Club of Boston Membership Guide and Club Rules, including rules regarding cancellation of my membership and responsibility for payment of all financial obligations, and agree to be bound by their terms and conditions.*Membership Guide (PDF) | Club Rules (PDF) YesElectronic Signature*This signature must be completed by the primary adult candidate that is over the age of 18. First Last Δ
