FOWL Membership

This is the Friends of Welsh Lacrosse (Associate) Membership application form.

Lifetime membership is available for £150. Please click here for the application form.

Please click here if you require a different form of Individual Membership.

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* Required information.
Name
Title
 
First Name *
 
Surname *
 
Gender
Contact Details
E-mail * This must be the same email address that you use when paying through PayPal
 
Home Tel.
 
Mobile Tel.
 
Other Tel.
Your permanent address
House / Street *
 
Town *
 
County
 
Postcode *
Lacrosse Information
Date of Birth
 
My Club
 
Area of interest Please tell us about the area of Welsh Lacrosse that you are interested in. You may select more than item.
Mens
Womens
Senior
U21
U19
U17
Clubs
Development
International
 
Qualifications Please enter any umpiring, refereeing or coaching qualifications that you have.
 
Courses to attend? What umpiring, refereeing or coaching courses would you like to attend?
Are you a Welsh Speaker?
Ethnic Origin
Please tick if you do not want to receive WLA information, newsletters, offers etc The information that you provide to the WLA will not be shared with any other organisation. The WLA may use membership details to tell you about WLA events, services and special offers.
 

The subscription for Friends of Welsh Lacrosse (Associate) membership in the 2011/2012 year is £15.
Your subscription will expire on 31 August 2012.

  

You will be re-directed to PayPal to complete your membership application.
If you do not want to use PayPal then please click here for the standard membership form.