Individual Player EOI - Springers Leisure Centre
Name
*
Family Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (0000) 000-000.
Email
*
example@example.com
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Sport you are interested in?
*
Basketball
Netball - Ladies
Netball - Mixed
Are you a current South East Leisure member and would like to represent your chosen facility?
NPAC
Oasis
I'll Play for anyone
Do you consent to your contact details being shared with other individual players and any interested teams?
*
Yes
No
Do you have any preexisting medical conditions
*
Yes
No
If yes, please give further details
How did you hear about Competitions at Springers Leisure Centre?
*
Google
Cheltenham Road Signage
In Centre
Socials
Other SEL Venues
Other
Submit
Should be Empty: