THE SOUTHEND & DISTRICT TABLE TENNIS LEAGUE
PLAYER REGISTRATION FORM 2006/07
							Reg. No.
Club				Team		Div.
Are you your Club Secretary?			Yes / No		Are you your Team Captain?			Yes / No
Would you like to play Inter-League?				Yes / No
Are you entering our Closed Championships in Feb 2007?						Yes / No
Title		Initials		Gender	M / F	Date of Birth
Forename				Surname
Email-Address
Home Phone with SDC					Work Phone
					Mobile Phone
Address part 1
Address part 2
Address part 3
County
Post Code
Emergency Contact
Are you an ETTA Coach?			Yes / No	Please state which level
Are you a non-playing member?			Yes / No
Please state other Leagues you play in
Any further comments you would like to make
Signature					Date
This form must be signed by the Parent or Guardian of members under 18 years of age.