Middlesex Junior Squash County Membership 2023/2024

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Please complete this form and make payment of £110pp (£100 each for siblings)
Account Name: Middlesex Junior Squash: Sort Code: 20-91-79 Account: 40337943
Questions should be directed to: Ivy Dieltiens (admin@middlesexjuniorsquash.co.uk)
Note fees may be adjusted if joining part season.

Email *

Junior First Name: *

Junior Surname: *

Date of Birth *

YYYY

Gender *

Female

Male

Prefer not to say

Other:

Club: *

Coach Name *

Player's School

Middlesex Qualification *

Home Postcode *

England Squash Membership Number *

All Middlesex Junior Squad members must be members of England Squash. If you are not a member, please sign up here.

Parent name: *

Parent/Guardian Email *

Parent/Guardian Mobile Tel *

I understand and agree to the Middlesex Junior Squash policies and code of conduct. www.middlesexjuniorsquash.co.uk/policies *

Yes

Required

Payment for each participant will be made to Middlesex Junior Squash sort code: 20-91-79 account 40337943 *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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