Apply For a Membership

Membership Type

Partner

Full

Junior

Your Details

First Name *

Last Name *

Tel (day) *

Tel (eve)

Age range *

I am under the age of 18 *

House Name/No *

Address Line 1 *

Address Line 2

Town/City *

Postcode *

Email *

Password

Password*

Must be at least 8 characters long, contain at least 1 number and at least 1 special character.

Re-type Password*

John Lewis Partner Details

JLP No *

Please provide your John Lewis Partner number.

Partners Branch *

Department *

Category *

Education/Occupation

Status *

Contact Details of parent/guardian

First Name *

Last Name *

Tel (day) *

Tel (eve)

Address same as above

House Name/No *

Address Line 1 *

Address Line 2

Town/City *

Postcode *

I have this parent/guardians permission *

Club History

Previous and/or current clubs *