*
Required
Student Preferred First Name
*
required
Student Last Name
*
required
Preferred Email
*
required
Student's Birthday
*
required
Student's Current School
*
required
Parent/Guardian Name
*
required
Parent/Guardian Email:
*
required
Address 1
*
required
Address 2
City
*
required
State
Zip
Country
*
required
Cell Phone Number
*
required
Boarding or Day Student?*
Boarding
Day
Desired Year of Entry:
*
required
Applicant for:
*
required
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Squash Information
I compete for:
Please Select…
My School Team Only
Junior Circuit Only
Both school team and junior circuit
N/A, I am a beginner
Years of experience, including the current or upcoming season
1
2
3
4+
Club Name
Junior Ranking
Please list all recent tournament and camp participation
Additional Questions/Comments
Please send a confirmation email to the address below: