Junior Registration Form

Fields marked with a * are mandatory.

Junior Details

Full Name*

Date of Birth*

Current School*

Does your child have any medical conditions or allergies that I should be aware of?*
YesNo

If Yes, please note these here.

Is your child currently a member of East Anglia Tennis & Squash Club?*
YesNo

Are you happy for your child to be photographed during sessions or when receiving awards? These photos may be used on notice boards in the club or on social media.*
YesNo

Parent/Guardian Details

Full Name*

Email*

Primary Contact Number (Emergency Contact)*

Secondary Contact Number