JUNIOR SQUASH SIGN UP FORM

Please complete the form below to book your child’s space and then press ‘Send’.

Player Name

First Name

Last Name

Date of birth

MM

DD

YYYY

Primary Contact Name

Primary Contact Number

(###)

###

####

Email

Secondary Contact Name

Secondary Contact Number

(###)

###

####

Player Medical Information: If none please state n/a

I would like to sign up to the following sessions

19/1/25 - Junior Development - 10:30-11:30am

19/1/25 - Junior Advanced - 11:35-1:05pm

26/1/25 - Junior Development - 10:30-11:30am

26/1/25 - Junior Advanced - 11:35-1:05pm

2/2/25 - Junior Development - 10:30-11:30am

2/2/25 - Junior Advanced - 11:35-1:05pm

If you have any questions or would like to make any changes to your child’s sessions please email us, info@surbiton.org