BCA Membership Application Form – BCA – Bringing Chess To Visually Impaired People

If you are under 16 years old, please ask a parent or guardian to complete this form for you.

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First Name *

Last Name *

Are you the applicant or the parent or guardian of the applicant *I am the applicantI am the parent or guardian of the applicant

Applicant Details

I confirm that I am at least 16 years old *Yes

Email Address *

When this form is submitted a copy of the details you have input will be sent to the email address entered above.

Contact Number *

Address Line 1 *0 / 40

Address Line 2 *0 / 40

Address Line 30 / 40

Address Line 40 / 40

Post Code *0 / 10

Parent or Guardian Details

Please enter other title0 / 10

First Name *

Last Name *

Email Address *

When this form is submitted a copy of the details you have input will be sent to the email address entered above.

Contact Number *

Address Line 1 *0 / 40

Address Line 2 *0 / 40

Address Line 30 / 40

Address Line 40 / 40

Post Code *0 / 10

Relationship to applicant *0 / 20

Is the applicant registered as Sight Impaired *YesNo

Non Sight Impaired Applicant Details

Please tell us why the applicant wishes to join the BCA. Kindly note that we usually only accept a fully sighted applicant who is a friend or relative of a visually impaired member or who performs a role for the BCA, for example as a tournament official, a coach, or a reader of audio material. *0 / 150

Is the applicant resident in the UK *YesNo

Select Subscription Type *Life – £505 Years – £20Annual – £10Under 18 years old Sighted UK Resident – Free

Please tell us the applicant’s date of birth

Date of Birth *

Day *

Month *

Year *

Select Subscription Type *Life – £505 Years – £20Annual – £10

Which formats can be used to send the applicant information about the BCA and our activities (tick more than one if applicable) *EmailLarge PrintBrailleAudioStandard Print

How would the applicant like to receive the email quarterly newsletters (BCA Gazettes) *Microsoft Word Attachment (.docx file)Large Print Microsoft Word Attachment (.docx file)Plain text attachment (.txt file)In the body of an emailThe applicant does not want to receive the BCA Gazette by email

Would the applicant like to join the BCA’s email forum on Groups.io *YesMaybe later

The email forum is used for tournament announcements, BCA news and discussions about chess. Members can subscribe or unsubscribe at any time. Note: If you are completing this form on behalf of an applicant under 16 years of age it is your email address which will be used.

Would the applicant like to be added to the BCA’s Email Address List *YesMaybe later

The email address list is circulated quarterly, and members have to be on the list in order to receive a copy. The purpose is to help members keep in touch with each other e.g. to arrange friendly games. Note: If you are completing this form on behalf of an applicant under 16 years of age it is your email address which will be added.

Does the applicant have any chess experience0 / 150

For example, complete beginner, home player, online player or club player? Does the applicant have a rating?

Please tell us how you found out about the BCA0 / 150

Other Details – Please enter any other relevant information here0 / 150

Thank you for completing this form. Please now click the Submit button! Our Membership Secretary will let you know whether your application has been successful.
If a subscription fee is due, you will also receive payment instructions. Please note that we cannot accept card payments at this time.