Join Us

Cedars Youth & Community Centre, Chicheley Road, Harrow Weald, Middlesex HA3 6QH
Please note - all sections MUST be completed

Personal Details

Title First name
Surname Please indicate if you are Male Female
Address
Postcode Date of Birth

Contact Details

Daytime Tel. no.

What facilities of ours will you be interested in?
Please tick all that apply

4G Astroturf Pitch
Breakout Room
Community Gym
Dugout Room
ICT Suite
Park Room
Social Space
Sports Hall
Other
Evening Tel. no.
Email
Emergency Contact Name
Emergency Contact Number

Equal Opportunities Monitoring

In order to ensure we achieve a balance of members from different communities we would appreciate you completing this monitoring information for us.

Would you like to include gym membership to your application? YES NO