Gold Junior Membership | Mascot Experience

We are looking forward to welcoming you to New Road this 2024 season! Please fill out your details to get you booked in. We will be in touch closer to the date with the finer details.

Adult One Name(Required)

First Last

Adult Two Name

First Last

If attending on matchday.

Mascot Name(Required)

First Last

If you have more than one mascot, please fill out a separate form.

Telephone(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Desired Fixture Date(Required)

Subject to availability.

Mascot Shirt Size(Required)

This is in junior sizing, if you require an adult size, please put the adult size in the additional comments section.

Declaration of Consent for Photographs(Required)

I give permission for my child’s photograph to be used within printed publications.

I give permission for my child’s photograph to be used on the club’s website.

I give permission for my child’s photograph to be used on the club’s social media pages.

I do not give permission for my child's photograph to be used.

Please tick the boxes that apply.

Additional Information

Please let us know of any additional information you think we need to be made aware of.

Gold Junior Membership | Mascot Experience