Squash Juniors Registration Form

Marple Squash Junior Registration Form

Please complete a registration form for each child. Sessions usually run in six week blocks. Places are limited and are allocated upon payment. If you want to check for spaces first, please contact Hannah Hodgson, Sports Development Officer sports@marplesportsclub.com 07464 423565
Spring Term 2

Saturday 26 February to Saturday 2nd April inclusive. Session times 1230-1.30pm. The final session on 2nd April of this block will be a Junior Club tournament running from 10.00am - 1.00pm. This will be a fun, friendly event and we encourage all the children to participate and experience matchplay. Our Junior Coaching team are: Chris Johnson, Gordon Staines, Joseph D'Souza, Michael Kitching and Hannah Hodgson. Hannah is also Club Safeguarding Officer.
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address

Street Address

Street Address Line 2

Town/ CityCounty

Post Code
Parent/ Carer Name

First NameLast Name
Parent/ Carer E-mail
example@example.com
Mobile Number
Do you give consent for your mobile phone number to be included in a parent comms group (WhatsApp) for this programme?*
Emergency Contact Number
Emergency Contact Name & Relationship to Child
Does your child have any additional needs or medical conditions the coaches need to be aware of? If yes, please give details:*
If yes to the question above, please give details. Your coach will be in contact to discuss any additional support required in more detail:
Has your child played Squash before? If yes, please give details:*
If yes to the question above, please give details.
In case of emergency, the Club will make every effort to contact using the details provided. Do you give consent for the Club to act on your behalf should they not be able to make contact in a medical emergency? *
Your decision can be changed at any time by contacting Hannah.hodgson@marplesports.club.com
Do you give consent for your child's name or image to be used in promotional material on the club's website and social media platforms in relation to squash activities? In line with our Safeguarding Policy, the club would use either name or photo/ video but not both in the same article/ post. *
Your decision can be changed at any time by contacting Hannah.hodgson@marplesports.club.com
Please sign to confirm your consent for the named child above to take part in the Squash Junior programme.*

Clear
Anything else you would like to tell us or ask about, or ask please type here
Payment

Payment of £30 to be paid to the following account. Please take a note of the payment details before submitting your form. Places will be allocated on receipt of payment.
Bank Account Details:

Starling Bank Name Hannah Hodgson/ Marple Squash Club Sort Code 040059 Account Number 79393972
Should be Empty:

Marple Squash Junior Registration Form

Spring Term 2

Payment

Bank Account Details: