Membership Enquiry Ready to join? Complete the membership enquiry form below. After submitting the form, we will be in touch about your membership enquiry! Child's DetailsName(Required) First Last Contact Number (if applicable)Date of Birth(Required) MM slash DD slash YYYY Child's Sex(Required) Male Female Parent or Guardian Details (1 - being the person who is completing this form)Name(Required) First Last Relation to Child(Required)Contact Number(Required)Email(Required) Parent, Guardian, or Emergency Contact (2 - if applicable)Name First Last Relation to ChildContact NumberEmail Declaration of ConsentUse of Child's Image in Promotional Material (leave unchecked if you do not agree)I, being the parent or guardian who is completing this form, consent to my child's image being included by the Junior Cue Sports Association of SA Inc. in promotional material including print, video, Social Media, and on the association's website. I agree. Membership Membership Benefits Membership Enquiry