JUNIOR MEMBERSHIP FORM

Please provide your membership details for our records.

If you prefer, you can print and complete this form and hand it to one of our coaches, but for the security of your information we recommend that you complete this securely online at: https://sandwichess.uk/junior-form

Please enter the details of the junior, and not the parent/guardian, unless otherwise stated.

Name

First Name

Last Name

Contact Email

Please give the email of a parent/guardian unless the junior is aged 13 or over

Email on Direct Debit agreement

If applicable (If different from contact email above)

Address

For 'State/Province' please give County

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

Include dialling code (Mobile preferred - this is the number a coach would contact you on outside of club meetings)

Date of Birth

This is in American format - month first, then day (This information is required both for safeguarding and competition purposes)

YYYY

ECF Membership No.

If applicable (Omit the 'ME' in front of the number)

ECF Rating Code

If known (ECF rating codes are 6 digits followed by 1 letter)

Other Clubs

List any other chess clubs of which you are a member

School Attended

Optional (If homeschooling, name a local support group if applicable)

Emergency Contact

Please provide the name and mobile number of the adult collecting the junior at the end of club meetings. This is also the number we will ring in case of emergency at the club. (Update these details at any time by emailing: club@sandwichess.uk)

Essential Information

E.g. disabilities, medical conditions requiring immediate intervention (e.g. EpiPen, diabetic emergency), allergies, SEN, safeguarding. Send us an email in confidence at any time to: club@sandwichess.uk