Edgworth CRC Junior Cricket Registration 2022

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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

Membership Type *

This form is for welfare information (not payment). Please pay membership using the links on our website membership page.

Junior Cricketer & Winter Nets (£75)

Junior Cricketer & Winter Nets, playing Senior Cricket (£120)

Girls Cricket Winter Nets (£25)

Junior Cricketer Summer Only (£50)

Junior Cricketer Summer Only, playing Senior Cricket (£95)

Name of child *

Date of Birth *

YYYY

Child Mobile Number (if 12 years old or over)

Home Address inc. Postcode *

Home Phone Number

Parent or Guardian Name *

Parent or Guardian Email Address

Parent or Guardian Mobile Phone Number *

Alternate Contact Name *

Alternate Contact Phone Number *

Relationship to Child *

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