BOOKING FORM
Please print this form out, complete in BLOCK CAPITALS
and return with the fee to:
GS Squash (Adult Courses),
grahamstevenson@arunvalley.net
or
Panel Cottage, Church Street, Amberley, West Sussex. BN18 9ND.
Fees: Please contact Graham direct re bank details for electronic payment.
Cheques may be made payable to ‘Graham Stevenson’.
Alternatively, please contact Graham re. account
details for electronic payment / e-mailed booking form.
Name of Applicant :
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Date of Birth : ..............................
Address :
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Telephone (home) : ........................................ (work)
: .............................
Email Address:
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Course applied for (enter dates) :
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Indication of playing standard :
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Details of any special dietary requirements, allergies, medical conditions,
etc.
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Name of your Club/Centre:
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E-mail Address of
Club/Centre:.......................................................................
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DECLARATION: I accept the booking conditions as detailed.
Signed: .............................................................
Date: .............................