Renewal Membership Form
One form per person
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*
Yes
Name of Member
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
Place of Birth
*
Contact Mobile Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact Name
*
Contact Mobile Number
*
Please enter a valid phone number.
Your Coaches Name
*
Training nights you normally attend
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
My Products
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Under 11 membership
£
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Under 13 Membership
£
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Under 15 Membership
£
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
U17/20 Membership
£
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Senior Membership
£
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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