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Please print and complete this form to become a member, hand it to Paul or another member of staff or pick up a copy from the club.

Download Printable Version

Membership Form

Name______________________________
Address ____________________________
___________________________________
Town ______________________________
Postcode ___________________________
Tel no: _____________________________
Age: ____________
___________________

Emergency contact details - please give details below

Name______________________________
Tel No_____________________________

Signed _____________________________

Signature of parent/guardian if under 16
______________________________

Padiham Snooker Centre
Grove Lane,
Padiham, BB12 8DP
Tel: 01282 680147- Mobile: 07881 831470

web: www.padihamsnookercentre.co.uk - email: info@padihamsnookercentre.co.uk