SECTION 1: PERSONAL DETAILS

We will use this information for updating you with general club information.

Title *

First Name *

Last Name *

Date of Birth *

Telephone Number (home)

Format - 01234-567890

Telephone Number (mobile) *

Format - 07123456789

Email Address *

Address line 1 *

Address line 2

Town *

County

Postcode *

Occupation

SECTION 2: MEDICAL INFORMATION

Please detail below any important medical information that you believe our coaches need to be aware of, such as epilepsy, asthma, diabetes, severe allergies, EpiPen etc or anything else that you feel they should be aware of.
IMPORTANT Knowing this, do you need to notify us of any medical information?

Medical Conditions *

Yes

No

Medical Conditions Information *

SECTION 3: EMERGENCY CONTACT DETAILS

This section must be completed. This information is required if in the event of incident/accident whilst at cricket.

Relationship to applicant *

Emergency Contact Title *

Emergency Contact Full Name *

Emergency Contact Email Address

Emergency Contact Mobile Number *

Emergency Contact Other Number

Add another contact

SECTION 4: SPORTING INFORMATION

Were you a member of SCHCC last season? *

How often are you going to be available to play cricket this year? *

SECTION 5: DECLARATION

I agree to taking part in activities of the club, namely training, and playing in the cricket teams that I am selected for and agree that I will always abide by the club's code of conduct, whether on the field of play or off it. I also agree to my personal data being held and used as described in our GDPR policy, from time to time we may make contact regarding the services offered by our sponsors and partners. As part of the membership fee you will receive a single entry into the Club Fundraising Draw and this will be in addition to any that you may have already. You are advised to read all documents mentioned above plus other information regarding the club, these can be found by clicking the link below.

Documents to read

Please tick this box if you DO NOT agree to the club taking photos of you for the purpose of media communications and promotion e.g. newsletter, website, social media channels.

By completing this subscription, I understand that I will be kept informed of activities at the club by means of social media channels, phone, apps, or email. I also understand that in the event of injury or illness, all reasonable steps will be taken to contact the persons named in Section 3 and to deal with the injury/illness appropriately.