Junior British National Training Squad

Manager Contact Detail

Paul and Joanne Griffiths

20 Brookside Avenue

Eccleston

St Helens

WA10 4RN

Tel: 07764660576

       01744 29822

email: griffos@beckgem.fsnet.co.uk

GB Dragon Boating

Under 18 Contact Details

Name……………………………………………………………………………..

Date of Birth………………………………………………

Address………………………………………………………………………………

…………………………………………………………………………………………

Town…………………………………………………………………………………

Postcode……………………………………………………………………………

Home telephone Number…………………………………………………………….

Mobile Number………………………………………………………………………..

e-mail address…………………………………………………………………………

Next of Kin……………………………………………………………………………

Relationship to you…………………………………………………………………..

For Office Use

Date Received……………………………………

Date inputted onto Database………………….

Signature………………………………………………