CCSL Sports Centre: + 44 (0)117 3157 678 | CCSL Sports Ground: +44 (0)117 923 7780

Profile Registration

My details

We require some details about you to use the online services.

Personal Information
Email *

Title
Gender

First Name *

Surname *

Date of Birth eg 22/01/1990 *

Ethnic Origin

My Home club
My Home club
 
Please select a club for your registration. This will affect which clubs you can book activities for.
Contact Address
Postcode *

 
House and Street *

Address Line 2

City

County

Main Phone Number

Mobile Number

Fields marked with * are mandatory
Emergency Contact Details
Contact Name
Contact Number
Please provide a contact name and telephone number of the person you wish to be contacted in the event of an emergency whilst at the club.