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Application for affiliated membership

All fields are required unless marked optional

Group name

Contact person

First name

Surname

Address line 1

Address line 2 (optional)

Town/city

Postcode

Phone number

Email address

Name of person(s) responsible for supervising the group

Purpose of group

Main activities

Group numbers (max. 30)

Will any children be present?

Please submit documentation to show your organisation holds a current Disclosure Scotland accreditation to admin@lvceca.org.uk. This submission will be required annually.

Do you charge group members?

How much are group members charged?

What are these funds are used for?

Nominated representative to attend LVCECA meetings (note that affiliated groups are required to send a representative to the association’s meetings)

Names of Organisation Office Bearers (or Equivalent)

Chairperson

Treasurer

Secretary

Facilities

Gym hall
Community room 1
Community room 2
Meeting room

Times available are restricted due to the Gym Hall being selected. Please de-select it to get all times for the other rooms.

Day(s)

Mon
Tues
Wed
Thurs
Fri
Sat
Sun

Start time

End time

Total charge

Will your group meet during term time only or all year?

Term time only
All year

I accept the terms and conditions of let and fire evacuation procedure (opens in new window)

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Payment successful

Your application has been submitted and will be reviewed by the committee.

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