SECTION 1: PERSONAL DETAILS (CHILD)

Title *

First Name *

Last Name *

Date of Birth *

School Year Age Group *

Team Group

Team Group -Training Only

Team Group

Team Group -Under 11s

Team Group

Team Group -Under 13s

Team Group

Team Group -Under 15s

Team Group

Team Group -Under 17s

Team Group

Team Group -Under 19s

Permission to leave *

I have permission to leave the sessions without a parent being present.

Address Line 1 *

Address Line 2

Town

County

Postcode *

For Communication Purposes

Full Name *

Adult Mobile Number *

Adult Email Address *

Add another person

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 Information *

Yes

No

Medical Information Details *

SECTION 3: EMERGENCY CONTACT DETAILS

This section must be completed by a parent/carer or guardian. This information is required if in the event of incident/accident whilst at cricket.

Relationship to applicant *

Emergency Contact Title *

Emergency Contact Name *

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 the club last season? *

Yes

No

SECTION 5: DECLARATION

I agree to my child taking part in activities of the club, namely training, and playing in the cricket teams and agree that they will always abide by the club’s code of conduct, as will anyone with responsibility for your child. As the Authorised Person 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. 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/your child for the purpose of media communications and promotion e.g. newsletter, website, social media channels

By completing this subscription, I understand that as the Authorised Person 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.

Authorised Person

First Name *

Last Name *

Relationship to Applicant *

Juniors

SECTION 1: PERSONAL DETAILS (CHILD)

SECTION 2: MEDICAL INFORMATION

SECTION 3: EMERGENCY CONTACT DETAILS

SECTION 4: SPORTING INFORMATION

SECTION 5: DECLARATION

Authorised Person