Studley Royal Cricket Club Senior Membership Application Form 2024
This form is designed to be completed by the the senior player. As the person completing this form you must ensure you are aware of what will happen to your information and to whom it may be disclosed. These details are set out in the Privacy Notice on the website: studleyroyalcc.co.uk

SRCC uses the ECB's Play-Cricket system to store data. Data from this form will be entered into that system.
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Please insert your SRCC membership number. 
You will have been given this on the members signing up night or it will have been sent to you when you were sent the link to this form.
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SECTION 1: PERSONAL DETAILS OF THE PLAYER *
Full name:
Home address: *
Post code: *
Date of birth: *
MM
/
DD
/
YYYY
Gender: *
Email address:
Mobile phone number: *
SECTION 2:  EMERGENCY DETAILS *
In the event of an emergency please provide the contact details.

Full name of the emergency contact:
Mobile telephone number of the emergency contact: *
Relationship to you of the emergency contact person? *
SECTION 3: DISABILITY *
We will use this information for statistical purposes as well as to establish if there are any additional needs/support/adjustments that you may require.
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'.

Would you consider the above statement applicable to you?
If so, does this impairment affect you in any of the following areas:
SECTION 4: MEDICAL INFORMATION *
Please detail below any medical information that our coaches need to know, and which would be affected by your participation in cricket activities. Such as; allergies, medical conditions (E.g Epilepsy, asthma and so on), current medication, special dietary requirements and/or injuries. 
If no medical conditions, please state 'No medical conditions'
Name of your doctors surgery: *
Doctors telephone number:
Medical Consent: *
SECTION 5: PARTICIPATION AGREEMENT AND UNDERSTANDING THE POLICIES. These will be found on the website:  studleyroyalcc.co.uk *
I confirm I have read or have been made aware of the following clubs policies:
Required
SECTION 6: CLUB PHOTOGRAPHY/VIDEO CONSENT *
SECTION 7: PRIVACY STATEMENT AND  AGREEMENT *
Studley Royal Cricket Club take the protection of the data that we hold about you as a member seriously and will ensure that the data you provide is processed in accordance with data protection legislation.

Please read the full privacy notice carefully to see how the Club will treat the information you provide to us. 

By returning this completed form, you confirm that you have read and understood the permission statements on this membership form and the privacy notice. Please print your full name below to confirm your agreement.
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