DOOR 02 · FULL APPLICATION

MEMBERSHIP
APPLICATION.

Choose a plan and complete your details. Takes about five minutes.

FULL NAME

DATE OF BIRTH

PHONE

ADDRESS (optional)

MEMBERSHIP PLAN FULL · 3× A WEEK£40FULL MEMBERSHIP / MONTHPART-TIME · 1–2× A WEEK£30PART-TIME PASS / MONTHCASUAL£7WALK-IN / SESSION

EMERGENCY CONTACT NAME

EMERGENCY CONTACT PHONE

MEDICAL CONDITIONS OR INJURIES (optional)

PHOTO CONSENT

FITNESS DECLARATION I confirm I am fit to take part in club training and matches, and I understand basketball carries a risk of injury.

APPLICATION RECEIVED.

Thanks — the treasurer will confirm your plan and payment details by email. Welcome to the Nest.