Join Us

Please enter your details into the form below to register with Timperley Sports Club.

By submitting this application I consent for my email details to be used by Timperley Sports Club for communicating purposes only.

If you have already registered proceed to the login page


Title:
*
First Name:
*
Last Name:
*
Address:
*
 
Town:
*
County:
Post Code:
*
Telephone:
*
Mobile:
E-mail:*  
Gender: *
Ethnicity
Other Ethnicity:
Occupation:
Emergency Contact No:
Birthdate (dd-mm-yyyy):
*  
School Attended (U18):
Doctors' Address (U18):
Next of Kin Email (U18):
Doctor (U18):
Doctor Tel (U18):
Medical Notes (U18):
Next of Kin (U18):
Next of Kin Tel (U18):
Membership Section:
*
Membership Type:
*
 
Partner details required if Joint Annual Social or Joint Life Social membership type selected.
Name of Partner:
Partner DOB (dd-mm-yyyy):