EmailMe Form - HERTFORDSHIRE CLUB AFFILIATION 2020

Club Name *

Main Ground Details

Ground Address *

Address 2

Town *

County *

Postcode *

Club Website Address *

If you do not have website please type N/A

Affiliation Category

Please select below the affiliation package for your club inline with the details provided in the Club Affiliation Package Brochure 2020

Please note that payment details will be sent to you in a confirmation email which you will receive once your form has been submitted. The email is sent to your nominated 'main contact email' which you will select in the next section.

Please ensure all information is entered accurately below, especially email addresses.

AGM Month *

Affiliation Applying for: *

Primary Affiliation Type *

ie. main ground within the County of Hertfordshire

Associate Affiliation *

ie. play principally in another County or main ground outside the County of Hertfordshire, but play in Hertfordshire affiliated leagues and competitions.

Primary Affiliaton to: *

Club Officials

Please provide full details for each official and indicate which person you would like to nominate to be your main contact.

Main Club Contact *

First Last

MC Telephone Number *

11 digits no spaces

MC Email *

Main Contact Postal Address *

MC Address 2

MC Town *

MC County *

MC Post Code *

Club Secretary

Secretary Name *

First Last

CS Telephone Number *

11 digits no spaces

CS Email *

Club Treasurer

Treasurer Name *

First Last

CT Telephone Number *

11 digits no spaces

CT Email *

Club Chairman

Chairman Name *

First Last

CC Telephone Number *

11 digits no spaces

CC Email *

Club Welfare Officer

It is a condition of Affiliation for all clubs to appoint and train a Club Welfare Officer.

Club Welfare Officer Name *

First Last

CWO Telephone Number *

11 digits no spaces

CWO Email *

CWO Date of Birth *

DD / MM / YYYY

Required for DBS Verification

Does your club have an Assistant Club Welfare Officer?

Yes

No

Assistant Club Welfare Officer Name

First Last

ACWO Telephone Number

11 digits no spaces

ACWO Email

ACWO Date of Birth

DD / MM / YYYY

Required for DBS Verification

Club Website / Social Media Editor:

Does your club have a Website / Social Media Editor?

Yes

No

Website / Social Media Editor Name:

First Last

SM Telephone Number

11 digits no spaces

SM Email

Junior Co-Ordinator

Does your club have a Junior Co-Ordinator? *

Yes

No

Junior Co-Ordinator Name *

First Last

JC Telephone Number *

11 digits no spaces

JC Email *

Clubmark Contact

Does your club have a Clubmark Contact? *

Yes

No

Clubmark Contact Name *

First Last

CM Telephone Number *

11 digits no spaces

CM Email *

Women and Girls Section

Does your club have a Womens and/or Girls section? *

Yes

No

Women and Girls Contact Name *

First Last

W&G Telephone Number *

11 digits no spaces

W&G Email *

Fixture Secretary

Fixture Secretary Name *

First Last

FS Telephone Number *

11 digits no spaces

FS Email *

Ground Contact

Groundsman / Ground Manager Name

First Last

GM Telephone Number

11 digits no spaces

GM Email

Payment

Payment options and bank details will be emailed to the main contact above once the form is submitted. Please check your junk mail folders if you do not receive an immediate email reply.

Amount to be paid *

Payment method *

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.

We (the club) do want to receive information (opt in)

The Hertfordshire Cricket Limited Privacy Policy can be found on our website www.hertscricket.org