|Contact number: *|
|Date of Birth: *|
|Application (please Tick): *|
|I have read and agree to the T's and C's below: *|
If there is more than one applicant, please change the quantity above to the required number, then enter the details of the other applicants below. Please note, under eleven year olds (as at 1st September 2017) are free, so do not include them in the quantity, but please still provide their details below.
|Name, address, tel, email and DOB of 2nd applicant:|
|Name, address, tel, email and DOB of 3rd applicant:|
|Name, address, tel, email and DOB of 4th applicant:|
|Name, address, tel, email and DOB of any others:|
Terms and Conditions:
Please not that under normal circumstances NO refunds will be given once bookings have been made, and it is illegal for under 16's to travel unaccompanied.
On joining the Official Wigan Athletic Supporters Club, we agree to abide by it rules and regulations and understand that any actions that could bring the reputation of the organisation or its members into disrepute could lead to my membership being terminated. I also acknowledge that I know it is against the law to take or consume alcohol on Football Coaches