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Squads – Junior Coaching

Name*
First Last
Irish Squash Membership ID*
Age Group*
Person Responsible - Name*
Mobile Phone*
Email*
Emergency Contact Name*
Emergency Contact Phone*
Cost
Price:
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Contact Permission
Agree to be contacted in relation to this aplication.*
- YES
Agreement for us to contact you in the future
We'd love to send you information and offers from IrishSquash by email, SMS, phone and other electronic means. We'll always treat your personal details with the utmost care and will never sell them to other companies for marketing purposes.
Please let us know if you would like us to contact you or not by selecting one of the options below.*
- Yes please, I'd like to hear from you
- No thanks, I don't want to hear from you

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