EmailMeForm
Hertfordshire Jets - Term 2 - Winter 2022
Booking, Emergency Contacts and Consent Form 2022/23
Confirmation of Attendance
By completing this form I confirm the following player would like to attend the Hertfordshire Jets Term 2 - Winter Training Programme
I wish to pay as follows
*
Please select
Full Term - £198
2 Instalments of £99
Payment (either full or part) must be paid in advance of the first session on 11th January 2023.
Player Full Name
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First
Last
Age Group 2022/2023
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Please select
U9 (Year 4)
U10 (Year 5)
Date of Birth
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DD
/
MM
/
YYYY
Address 1
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Address 2
Town
*
County
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Post Code
*
School
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Cricket Club
*
EMERGENCY CONTACT DETAILS
Parent / Guardian Name
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First
Last
Relationship to Player
*
Please select
Father
Mother
Grandparent
Legal Guardian
Aunt / Uncle
Home or Work Tel No.
*
Mobile Tel No.
*
Email Address
*
Alternative Contact Name
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First
Last
Relationship to Player
*
Please select
Father
Mother
Grandparent
Legal Guardian
Aunt / Uncle
Family Friend
Alternative Contact Tel No.
*
Alternative Contact Email
*
PLAYER ETHNICITY
Whilst it is not compulsory for the above section to be completed, the paragraph below explains why this personal information is considered to be important.
Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have existed within sport particularly in relation to gender, race and disability. Sport England and ECB are committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of players, ECB and Sport England can identify any issues relating to under representation of different groups and can develop strategies to ensure that all people have the opportunity in the future to develop and progress in sport. Sports Governing Bodies may request this data from County Boards as part of the annual affiliation process and completing this data accurately enables Hertfordshire Cricket Limited to give an accurate picture of our membership.
*
Please select
English/Welsh/Scottish/North Irish
Irish
Indian
Pakistan
Black
White / Black
Other Asian
Other
Prefer not to say
MEDICAL INFORMATION
Please detail below any important medical information that our coaches should be aware of (eg. epilepsy, asthma, diabetes, current medication, injuries, impairments)
*
If none known please put N/A
By ticking the box below I confirm to the best of my knowledge, that the above child, or child in my care, does not suffer from any medical condition other than those detailed above.
*
I confirm all medical details are correct
PHOTOGRAPHY / FILMING CONSENT
I consent to the taking of photographs and films of my child for coaching purposes, publication in newspapers, displays, Hertfordshire Cricket Twitter and Facebook pages and Herts Cricket Website reports
*
I give my consent
I do not give my consent
Full details of our photography and safeguarding policy can be found on our website www.hertscricket.org
PARENTAL CONSENT / SIGN OFF
I give / I do not give my consent below that in an emergency situation the Club/County may act in my place, (in loco parentis), if the need arises for the administration of emergency first aid and / other medical treatment which in the in the above section of this form. opinion of a qualified medical practitioner may be necessary. I also understand that in such an occurrence all reasonable steps will be taken to contact me as the relevant parent / legal guardian, or the alternative adult I have named
*
I agree to give my consent
I do not give my consent
Name of Legal Parent/Guardian
*
Dated
*
DD
/
MM
/
YYYY
HCL DATA PROTECTION STATEMENT / PRIVACY POLICY
Hertfordshire Cricket Limited (HCL) will hold details of individuals accessing services, courses with other information it holds about individuals and will use this for the following purposes:
For maintaining records / for ensuring the mandatory requirements of the ECB are satisfied / to provide and administer the goods and services you request from us. We would like to contact you by the following methods of communication: post / email / phone with information and offers of products or services that we believe may interest you. If you tick the opt in box you will be consenting to receive information and offers as described. You are entitled to a copy of your personal data and to correct any inaccuracies in it.
I wish to receive information (opt in)
The Hertfordshire Cricket Limited Privacy Policy can be found on our webste www.hertscricket.org
CONFIRMATION EMAIL
Once your form has been submitted you will receive a no-reply email confirming receipt by Hertfordshire Cricket Limited. Please double check your spam/junk mail folders if you do not receive this email in your inbox.