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Edgworth CRC Junior Welfare Cricket Registration 2024
This form should be completed by the parent, or legal guardian of any player under 18 years of age. Where the player is over the age of 12, the last box on page 3 should also be completed.
Page 1: Contact Information
Page 2: Disability & Medical Information
Page 3: Legal, Medical & Participation Consent
A copy of our data-protection policy can be found at:
https://www.edgworthcc.co.uk/data-protection
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Membership Type
*
This form is for welfare information (not payment). Please pay membership using the links on our website membership page.
Junior Summer Only (£60)
Junior Summer & Winter Nets (£90)
Junior playing Senior Cricket Summer Only (£150)
Junior playing Senior Cricket & Winter Nets (£180)
Girls Only Summer & Winter Nets if member of other cricket club (£35)
Name of Child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Child Mobile Number (if 12 years old or over)
*
Your answer
Home Address inc. Postcode
*
Your answer
Parent or Guardian Name
*
Your answer
Parent or Guardian Email Address
*
Your answer
Parent or Guardian Mobile Phone Number
*
Your answer
Relationship to Child
*
Your answer
Alternative Emergency Contact Name & Phone Number
*
Your answer
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