ENGLISH POOL ASSOCIATION

PLAYER REGISTRATION

Details on Player Registration can be supplied on completion of the form below

Fields marked ** must be completed

It will help the registration process if you name a league that you play in

Forename **
Surname **
Address **

Town **
County **
Post Code **
Email **
Date of Birth **	dd/mm/yyyy
Home Phone No.
Mobile Phone No.
Are you an EPA registered I.D. cardholder
Yes / No **
Registration Number
Leagues you play for
League 1
League 2
League 3
My Enquiry **

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