Junior Registration Form 2021

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Please complete this form to register your child as a Junior Member at Stourport Cricket Club

Junior Programme *

AllStars (Age 5-8)

Club Junior (Age 9-18)

Player's Full Name *

Player's Address *

Player's Postcode *

Player's Date of Birth *

YYYY

Age at 1st September 2020 *

Town and County of Birth *

School Name and Town *

School Year Group *

Parent/Guardian Name *

Parent/Guardian Contact Number (Please make sure that this is a mobile phone number) *

Parent/Guardian Email Address *

I declare that the above facts are correct and that I have not signed another registration form for any other Cricket Club this season. *

I declare

Required

Having read and understood the Club rules/code of conduct, available on the club website, I give permission for my son/daughter to take part in Junior/Adult matches and Worcestershire Cricket Board cup competitions and do so at his/her and my own risk. *

I consent

Required

I understand it is the parent/carer's responsibility to make necessary arrangements for their child to get to training sessions, home and away matches, either by transporting their own child or by making arrangements with other parents. *

I understand

Required

I consent to having my contact details used by Stourport Cricket Club for the purposes of Cricket Club Business. I understand that I can withdraw consent at any time by contacting the Junior Secretary *

I consent

Required

Medical Conditions. If there are no medical conditions, please state NONE *

In the event that my son/daughter is injured while playing cricket or travelling to and from cricket events and I cannot be contacted on the above numbers, I hereby give my consent for my child to receive medical attention. *

I consent

Required

I give permission for the above named child to be photographed and be captured on video by Stourport Cricket Club officials for coaching purposes and publicity that may appear on our website. *

I consent

I do not consent

Required

I give consent for my contact number to be added to an SCC Juniors Whatsapp group so I can be kept up to date with information such as cancellations of sessions due to weather etc. *

I consent

I do not give consent

Required

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