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 : ......................................................

Date of Birth : ..............................

Address : .............................................................................................
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Telephone (home) : ........................................ (work) : .............................

Email Address: ..........................................................................................

Course applied for (enter dates) : ...............................................................

Indication of playing standard :  ...............................................................


Details of any special dietary requirements, allergies, medical conditions, etc.

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Name of your Club/Centre: ............................................................................

E-mail Address of Club/Centre:.......................................................................

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DECLARATION: I accept the booking conditions as detailed.

Signed: .............................................................  Date: .............................