Registration Form
Girls Squash - Wednesdays 5pm @ Old Crossleyans
Participant Details:
Full Name of Child
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Phone Number (of parent if under 16)
*
-
Area Code (+44)
Phone Number
E-mail (of parent or child if over 16)
example@example.com
How did you hear about us?
*
Please Select
Word of mouth
Internet
Mosque
Guides
Other
Please Specify
*
Please detail any medical conditions (including current medication taken) or allergies:
*
Does you and your child give consent for photos and videos to be taken of them and used for promotional materials by Calder Community Squash and England squash ?
Yes
No
Please provide two emergency contacts
*
Rows
Full Name
Address
Contact Number
1
2
Submit
Should be Empty: