ENGLAND HANDBALL

First Name *
Last Name *
Name of Club or organisation that you are associated with
NOTE - Have you been registered with another federation within the last 24 months ? *
NOTE: If you have ticked YES above, you must not continue with this online registration. Please contact the handball office by e mail office@englandhandball.com
Previous BHA registration No.
Nationality
Date of Birth
Phone
E-mail
Address
City / Town
Post Code
Gender *
Ethnic Origin
Do you have a disability?
Nature of disability
Age Group
Please upload a recent * photo (passport style - jpg, jpeg, gif, png - Max File Size 50KB) Photo not required for U16's
Declaration: I confirm that I wish to be registered as a member of the British Handball Association (Includes England Handball Association). I agree to abide by the rules and regulations of the British and England Handball associations wheresoever they might be found. I confirm that all details above are true and correct to the best of my knowledge.
Print your full name to signify acceptance
Select Category	League Div 1 Player (£33) League Div 2 Player (£22) Club Official / Non Player (£22) Junior Member (non-league) (£12) Youth (U16) Member (£4.50) Total : £0
Note-If you are a player and club official you should tick the player box only.
If you are a club official, what office do you hold in the club
IMPORTANT ! Please read	When you submit the data you will be re-directed to PayPal for payment. Your membership application will not be processed until payment is received. Non payment of a player registration fee may result in loss of league points or team disqualification. Adult registration will not be processed without a photo.

Data collected on this form will be encrypted and will be only be used in accordance with the data protection act.