Player Membership Form

Please Fill In The Form Below.

SECTION 1: PERSONAL DETAILS OF THE PLAYER. Player's Name
SECTION 2: PERSONAL DETAILS OF THE PLAYER OR PARENTS/CARERS/LEGAL GUARDIANS OF THE JUNIOR PLAYER. Parent / Carer's Name
2nd Parent / Carer's Name
SECTION 3: EMERGENCY CONTACT DETAILS. Name Of An Alternitive adult who can be contacted in an emergancy
SECTION 4: SPORTING EXPERIENCE INFORMATION. Have you/the child played cricket before?
(Examples: Primary school, secondary school, special educational needs school, local authority coaching session, club, other).
SECTION 5: DISABILITY. The Equality Act 2010 defines a disabled person as anyone with “a physical or mental impairment, which has a substantial and long- term adverse effect on their ability to carry out normal day-to-day activities.” Do you/the child have any physical or mental health conditions or illnesses that have lasted or are expected to last 12 months or more?
The club will use this information for statistical purposes, as well as to establish if there are any additional needs, support, or adjustments you/your child may require. Please discuss this with us.
Enter any medical details here:
I consent to my/the child’s medical details being shared with coaches/team managers/junior supervisors for the purposes of the delivery my/the child’s safe participation in the cricket club activity:
Not providing consent will not affect membership of the club. However, giving us consent to share this information will help the club to know how to respond effectively in the case of any medical emergency.
SECTION 7: PARENT/CARER/LEGAL GUARDIAN PARTICIPATION AGREEMENT (For under 18 members only) I confirm I have legal responsibility of the above-named child and that I agree to the child named above taking part in the activities of the club:
I consent to the club photographing or videoing the above-named child’s involvement in cricket in line with the ECB photography/video policy:
If you do not wish to give consent for this, please contact us to discuss how we can manage any potential photography. Not giving consent will not affect the child’s membership of the club.

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