Grampian Squash Foundation Application Form

Player’s Name:
Parent’s Contact Name
Address:
Contact Telephone:
Mobile:
Email Address:
Player’s Date of Birth:
Applying for: (please tick)	Development Squad	Performance Squad
Club:
Coach:
Email Address:
Telephone:
Doctor:
Telephone:
Please provide details of any known medical conditions on the back of this application form. This information will be treated with total confidentiality and only shared with the appropriate coaches who will be working with the players. If there are no medical conditions please write BELOW “No Medical Conditions” and then sign your name after the statement.

TO BE RETURNED TO:

GERRY TOWLER – 38 MEARNS DRIVE, STONEHAVEN, AB39 2ES

TELEPHONE: H – 01569767158 M – 07860177008 W – 01224633823

Please enclose application fee of £145 – If opting for budget plan the fee is £75 with the second payment due in October and if Academy or National Talent Squad the fee is £85.