Bath Lacrosse Club - Membership 2022/23
To be completed by parent/guardian if under 18 years of age
Payment should be via BACS to:  
Bath Lacrosse Club, Account No 44077668, Sort Code 30-98-97 Reference SUBS
Please note that the club communicates with its members through a variety of platforms - juniors will not be added to these platforms without their parents/guardians permission but the parents/guardians contact details will be used instead
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First Name *
Surname *
Date of birth (day/month/year) if U18
Gender *
Address *
Contact phone number *
Email *
Membership - please select 1 option *
All players, officials and coaches must be registered with England Lacrosse (individual registration at https://www.englandlacrosse.co.uk).  Your EL registration number:
Please confirm that you have registered with England Lacrosse as a member of Bath Lacrosse Club
Please add any lacrosse qualifications
Name and relationship to minor if completing for U18
Bath Lacrosse Club would like to store lacrosse related imagery of you (or the minor named above) for use in promotional material in support of lacrosse club activities.  Please select as many choices as is appropriate *
Required
You confirm that you will abide by the constitution of Bath Lacrosse Club (published on http://bathlacrosse.com/wp/) *
Required
You understand that Committee members, on behalf of Bath Lacrosse Club, will retain membership information for the duration of the current season and will not share this information with any third parties without your prior consent *
Date you complete this form *
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