Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost

Boys U12 Section

	Category	Cost
	Boys U12 CVL Only available to Male only between the ages of 7 and 11 inclusive.	£450.00
	Boys U12 NL Only available to Male only between the ages of 7 and 11 inclusive.	£500.00

Boys U14 Section

	Category	Cost
	Boys U14 CVL Only available to Male only between the ages of 11 and 13 inclusive.	£450.00
	Boys U14 NL Only available to Male only between the ages of 11 and 13 inclusive.	£550.00

Boys U16 Section

	Category	Cost
	Boys U16 CVL Only available to Male only between the ages of 13 and 15 inclusive.	£450.00
	Boys U16 NL Only available to Male only between the ages of 13 and 15 inclusive.	£550.00
	Boys U16 Premier Only available to Male only between the ages of 13 and 15 inclusive.	£550.00

Boys U18 Section

	Category	Cost
	Boys U18 CVL Only available to Male only between the ages of 16 and 17 inclusive.	£450.00
	Boys U18 NL Only available to Male only between the ages of 16 and 17 inclusive.	£550.00

Girls U13 Section

	Category	Cost
	Girls U13 CVL Only available to Female only between the ages of 7 and 12 inclusive.	£450.00

Girls U15 Section

	Category	Cost
	Girls U15 CVL Only available to Female only between the ages of 13 and 15 inclusive.	£450.00

Girls U17 Section

	Category	Cost
	Girls U17 CVL Only available to Female only between the ages of 15 and 17 inclusive.	£450.00

Seniors Section

	Category	Cost
	Senior - Ladies ladies senior team Only available to Female only aged 16 or over.	£32.00
	Senior - Men Only available to Male only aged 16 or over.	£36.00
	Seniors - pay as you play - Day Membership for the member that is only going to play on an ad hoc basis Only available to people aged 16 or over.	£7.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://blackhawks.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://blackhawks.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Mr Russell Fernandes, Pilgrim House, Barnett Lane, Wonersh, Surrey, GU5 0RZ, United Kingdom

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

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Title

Description

Requested Membership Subscriptions

One or more of the requested Membership applications require approval. You will be emailed if your request has been approved and, at that point, you will be able to view and accept or reject the membership offer and proceed with payment. will be emailed once the request has been approved and, at that point, they will be able to view and accept or reject the membership offer and proceed with payment.

Subscriptions have been automatically approved and have been added to your basket. Please now proceed there to make payment.

Pay for Subscriptions

Reference	Name	Category	Costs
			Joining Fee Cost /	View Manage

Group Subscriptions

- :

You have requested one or more group membership subscriptions. You should now use the register buttons below to add additional members into the available slots.

No.	Membership
	One of:

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