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PCC Membership Form 2026

Refer to the Club Webiste for details on what each Membership Profile Offers

All Fields Are Mandatory - Complete to the end of the form please. Click DONE at the finish and you receive the Thank You / Acknowledgement Page.

Note - A Partially Completed Membership Form will result in some personal details being retained.

Contact us if you do not wish your details to be held by emailing us on portsmouthcc@hotmail.co.uk
Enter Player / New Member Details(Required.)
Date of Birth(Required.)
Format is DD/MM/YYYY
Gender(Required.)
Please Tell Us About Any Medical Conditions / Disabilities(Required.)
Alternative Emergency Contact - This contact MUST be different to what has been supplied in the "Member Contact Details" section of this form(Required.)
Is the Alternative Emergency Contact Number different to the one entered earlier? It MUST NOT be the same.(Required.)
Adult, Junior, University of Portsmouth or Social Membership?(Required.)
Current Progress,
0 of 23 answered