Disley Sport - Disley Amalgamated Sports Club

Surname *

Please enter your surname

Forenames *

Please enter your forename(s)

Email Address

Address *

Post Code

Telephone Number

Date of Birth *

State the principle sport/activity

Tick below any other sports/activities you would be interested in playing;

Select the appropriate class of membership;

Family membership fitness suite upgrade -

Door access fob required? (£10 one off charge)

Once submitted DASC will contact you to discuss your membership of the club. Please tick your preferred method of contact:

E-mail

Telephone

Mail

You must read and agree to the Terms & Conditions

* Badminton as your principle sport will incur a £10 p.a. shuttle fee.

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