MEMBERSHIP FORM FOR 2026

Hi

Please fill in this form if you wish to become a member of London School of Samba.

WE OFFER SUBSCRIPTION MEMBERSHIP ONLY

This £28 per month fee will grant members access to all WAC classes and rehearsals, and a 20 per cent discount on all LSS Merchandise.

The fee will be taken by Direct debit for 12 months - we are using GoCardless as the platform for your payments to ensure they are protected by the Direct Debit Guarantee.

We also have concession rates if you are a Student, Carer, Unwaged, in receipt of pension credit or universal credit.

Any queries please contact Liz - finance@londonschoolofsamba.co.uk

Thanks and welcome to London School of Samba

Name*

First NameLast Name

E-mail*

This is our main method of communication

For monitoring only - Please give the first part of your postcode or the area you live in.*

Street Address

Street Address Line 2

Post Code

year of birth*

Gender*

Where did you hear about LSS*

We are a volunteer-run organisation. Without help from our members, none of our activities would happen. If you would like to volunteer please indicate below and we will contact you*

Yes, pleaseNo, not right now

We sometimes film classes and gigs for publicity or training. Please indicate if you you consent to having your image used in publicity material or tagged on social media.*

I consentNo I don't - I will let tutor know this before classes and and inform the organiser of any gigs I take part in

I am happy to comply with the Respectful Behaviour Policy on our website: www.londonschoolofsamba.co.uk/london-school-of-samba-history/ - I agree to treat all other members with full and active respect and do nothing that will bring LSS into disrepute; nor be a disruptive influence.*

Agree

As a member of LSS I undertake to contribute no more than £1 to any debts outstanding if LSS should cease to trade*

Agree

Please read our privacy policy and how we use your data

Please confirm you have read our Privacy policy*

Yes

We would like to gather a bit more information about our Membership. This information is used for monitoring purposes only.

From the drop down form please choose a description that best describes your ethnic origin

Do you consider yourself disabled

Charity Gift aid Declaration*

I am a UK tax payer and I want London School of Samba to claim Gift Aid from my annual membershipI am not a UK tax payer

If you are a Student, Carer, Unwaged, in receipt of pension credit or universal credit you will be able to receive reduced rates for membership and entry to classes. After you have submitted the form please send proof to finance@londonschoolofsamba.co.uk and you will be sent the correct payment form.*

I will pay full priceI wish to apply for concession and I will send proof to the email above. I understand that I will not be a member until I have sent payment

Please select your membership type*

Monthly Subscription for 12 months @ £30 a month - YOU WILL NEED TO FILL IN A DIRECT DEBIT FORM WHICH IS ON A LINK BELOWPay for classes and membership up front for. year £330Annual membership Pay as you go for classes £60

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. Please notify LSS if you want to cancel this declaration or change your name or home address, no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.*

I understand

To claim gift aid we need your address - it will only be used for this purpose

We are using Gocardless to manage our subscription payments via direct debit -

Please click this link LSS MEMBERSHIP SUBSCRIPTION and a new tab will open up so you can enter your details and then come back to submit the form.

Your payment will come out on the first of the month

I have filled in the Direct debit mandate - Your membership will not start until we have received confirmation of this*

yesI have had an issue with the form please send a link

If there are any issues with submitting this form please try again later

Any queries please contact Liz - finance@londonschoolofsamba.co.uk