Middlesex Super Kings Sports Club
Scott Crescent, Harrow, HA2 0TY
middlesexsuperkings@gmail.com
www.middlesexsuperkings.co.uk
07825610373
MSK Branch Select ClubHarrowPinnerNorthalt
Season / Year Select Season / Year202520262027202820292030
Select Season(s) WinterSpringSummerAutumn
Member Type Select Member TypeKidsAdults
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
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
Parent / Guardian Salutation Select SalutationMrMrsMissMsDr
Parent / Guardian Full Name
Relationship to Child
Mobile Number
Alternative Contact Number
Email Address
Home Address (if different)
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Name
Relationship
Primary Contact Number
Secondary Contact Number
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.
Previous Clubs / Coaching Experience
Tournament Participation
Playing Level BeginnerIntermediateAdvancedCounty LevelNational LevelProfessional
Years of Playing Experience Less than 1 Year1-3 Years3-5 Years5+ Years
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
Are you disabled? YesNo
If "Yes", please describe the nature of disability
Payment Method Bank TransferOnline PaymentCashDirect Debit / Standing Order
Payment Plan Annual PaymentMonthly Direct DebitQuarterly PaymentPay As You Play
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.
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
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.
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)