MSK Branch
Select ClubHarrowPinnerNorthalt

Season / Year
Select Season / Year202520262027202820292030

Select Season(s)
WinterSpringSummerAutumn

Member Type
Select Member TypeKidsAdults

1. Membership Category

Adults

Annual MembershipMonthly MembershipSocial MembershipCompetitive/Tournament Membership

Juniors / Kids

Junior Membership (Under 18)Junior Performance SquadBeginner Coaching ProgramHoliday Camp Program

Player Membership Type
Select Membership TypePermanentGuest / PAYG

Permanent Membership Plan
Select PlanSilver Member - £25 per yearGold Member - £50 per yearPlatinum Member - £100 per yearLife Member - £3,000 one-time fee

2. Applicant Personal Information

Salutation
Select SalutationMrMrsMissMsDr

First Name (required)

Last Name (required)

Preferred Name

Gender
Select GenderMaleFemalePrefer not to sayOther

Date of Birth

Nationality

Home Address

Postcode

Mobile Number (required)

WhatsApp Number

Email Address (required)

Occupation / School Name & Grade

School

Year at School

3. Parent / Guardian Information (Required for Members Under 18)

Parent / Guardian Salutation
Select SalutationMrMrsMissMsDr

Parent / Guardian Full Name

Relationship to Child

Mobile Number

WhatsApp Number

Alternative Contact Number

Email Address

Home Address (if different)

4. Emergency Contact Details

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Name

Relationship

Primary Contact Number

Secondary Contact Number

Email Address

5. Medical & Health Information

Please provide details of any relevant medical conditions, allergies, disabilities, injuries, or medications:

I confirm that the member is physically fit to participate in sports activities.
I agree to inform the club of any future medical changes.

6. Playing Experience & Skill Level

Previous Clubs / Coaching Experience

Tournament Participation

Playing Level
BeginnerIntermediateAdvancedCounty LevelNational LevelProfessional

Years of Playing Experience
Less than 1 Year1-3 Years3-5 Years5+ Years

7. Activity Selection & Availability

Which activity do you want to join?

BadmintonFootballCricketCaromYoga TrainingChess Master ClassNetballBasketballMarshal ArtGuitar Master ClassDance

Cricket Previous Experience Level
Select Cricket LevelBeginnerIntermediateProfessionalOther

If Other, please specify

Preferred Training Days
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Preferred Sessions
CoachingMatch PracticeFitness TrainingSocial PlayLeague Matches

8. Disability

Are you disabled?
YesNo

If "Yes", please describe the nature of disability

9. Membership Fees & Payment Information

Payment Method
Bank TransferOnline PaymentCashDirect Debit / Standing Order

Payment Plan
Annual PaymentMonthly Direct DebitQuarterly PaymentPay As You Play

10. Code of Conduct Agreement

By submitting, I agree to: respect coaches, players, officials and members; follow all club rules and safeguarding policies; maintain good sportsmanship; use facilities responsibly; and understand that misconduct may result in suspension or termination of membership.

I have read and agree to the Middlesex Super Kings (MSK) Sports Club Code of Conduct.

I have read and understand the rules and regulations of Middlesex Super Kings (MSK) Sports Club.

11. Photography & Media Consent

Media Consent
I consent to photos/videos being used (website, social media, promotional materials, tournament publicity)I do NOT consent to photos/videos being used

12. Data Protection & Privacy Consent

Your data with Middlesex Super Kings (MSK) Sports Club is highly protected and only your basic information will be published on the MSK website.

I agree that my personal information may be stored and used by the club for administration, communication, safeguarding, and event management in accordance with applicable data protection laws.

I agree to share my information with Middlesex Super Kings Sports Club.

I agree to share my information with third party companies, sponsors, and advertising agencies.

13. Declaration & Signature

I confirm the information provided is accurate and complete. I understand participation in sports activities is at my own risk and I agree to follow the club's rules and code of conduct.

Once you submit the membership form, you will receive an automated Membership ID. When you make a bank transfer or online payment, please use this Membership ID as your reference.

I agree with Middlesex Super Kings (MSK) Sports Club terms and conditions.

Applicant Full Name (type to sign)

Date

Parent / Guardian Consent (For Junior Members)

Parent / Guardian Name (type to sign)

Date