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

Are you at least 16 years old?

Yes

If you are under 16, please do not complete this form yourself. Please ask your parent or guardian to contact us.

Title

First Name

Last Name

Email

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

Telephone

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Post Code

Are you resident in the UK?

Yes

No

Are you registered as Sight Impaired?

Yes

No

Subscription Type

Annual – £10

5 Years – £20

Life – £50

Under 25 years old Sight Impaired UK Resident – Free

Under 18 years old Fully Sighted UK Resident – Free

If you are unsure which one to select please contact us. If there is a fee we will send payment instructions on receipt of your membership application form. Please note that we cannot accept card payments at this time.

If you qualify for the Under 18 or Under 25 Subscription please tell us your Date of Birth.

Date of Birth – Day

Date of Birth – Month

Date of Birth – Year

Which formats can be used to send you information about the BCA and our activities (tick more than one if applicable)?

How would you like the quarterly newsletters (BCA Gazettes) to be emailed to you?

Microsoft Word attachment (.docx file)

Plain text attachment (.txt file)

In the body of an email

I do not want to receive the BCA Gazette by email

Would you also like to receive BCA Gazettes in one of the following formats?

Would you like to join the BCA’s email forum on Groups.io?

Yes

Maybe later

The email forum is used for tournament announcements, BCA news and discussions about chess. You can subscribe or unsubscribe at any time.

Would you like to be added to the BCA’s Email Address List?

Yes

Maybe later

The email address list is circulated quarterly and you 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.

Do you have any chess experience?

For example, are you a complete beginner, a home player, an online player or a club player? Do you have a rating?

Are you interested in buying an adapted chess set?

Yes – please send details

No thanks

Kindly note that we prefer members to have taken out a five year subscription or life membership in order to access subsidies on chess equipment.

Please tell us how you found out about the BCA.

Other Details – Please enter any other relevant information here.

GDPR Agreement

I consent to the data submitted on this form being stored securely by the Braille Chess Association for the purpose of managing my subscription.

Thank you for completing this form. Please now click the Submit button!