London Wayfarers Hockey Club, Battersea

Form ( See Editing Help on right for formatting tips )
<h2>Membership Form</h2> <p>Please fill in the form below for membership application. We will contact you shortly after.</p> <form method="post" action="/cgi/emailform.cgi"> <input name="mailtitle" type="hidden" value="Membership Application" /> <p> <label for="Gender">Gender</label><br /> <select id="Gender" class="select" name="gender"> <option value="male">Male</option> <option value="female">Female</option> </select> </p> <p> <label for="FirstName">First name</label><br /> <input id="FirstName" name="firstname" class="text" type="text" value="" /> </p> <p> <label for="Surname">Surname</label><br /> <input id="Surname" name="surname" class="text" type="text" value="" /> </p> <p> <label for="Email">Email</label><br /> <input id="Email" name="email" class="text" type="text" value="" /> </p> <p> <label for="ContactNumber">Contact number</label> <small>( Optional )</small><br /> <input id="ContactNumber" name="contactmumber" class="text" type="text" value="" /> </p> <p> <label for="PreviousExperience">Previous playing experience?</label> <small>(School, University and/or Club inc. Team )</small><br /> <textarea id="PreviousExperience" name="previousexperience" class="textarea" type="text"></textarea> </p> <p> <label for="PlayingPositions">Prefered playing positions</label><br /> <textarea id="PlayingPositions" name="playingpositions" class="textarea" type="text"></textarea> </p> <p> <label for="UmpiringCoaching">Umpiring or coaching qualifications (if applicable)</label><br /> <textarea id="UmpiringCoaching" name="umpiringcoaching" class="textarea" type="text"></textarea> </p> <p> <label for="HearAbout">How did you hear about us?</label><br /> <textarea id="HearAbout" name="hearabout" class="textarea" type="text"></textarea> </p> <p> <label for="OtherComments">Other Comments</label><br /> <textarea id="OtherComments" name="othercomments" class="textarea" type="text"></textarea> </p> <p> <input class="submit" type="submit" value="send application" /> </p> </form>

<h3>Information</h3> <p>Please fill out as many boxes as you can to help us to accommodate you.</p> <p>Your form will be submitted to the club captains who will reply to you as soon as possible.</p> <p>Alternatively, if you would like to send an e-mail to a specific member of the club, please go to our <a href="/aboutus/index.shtml">Contacts Page.</a></p> <br><br> <!--<p><strong>Trials are on 4 September 2004</strong></p> <p>Men's trials are at 2pm at <a target="_blank" href="http://www.streetmap.co.uk/streetmap.dll?grid2map?x=531250&y=177750&zoom=1&isp=187&ism=500&arrow=y?138,136">Kennington Park</a></p> <p>Ladies trials are at 10.30am at <a target="_blank" href="http://www.streetmap.co.uk/newmap.srf?x=527903&y=176866&z=1&sv=527903,176866&st=4&tl=~&bi=~&lu=N&ar=y">Battersea Park</a></p>-->

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