EmailMeForm
Charley Cricket Girls Player Application Winter
Player's Details
Name
*
First
Last
Home Address
*
Town
*
County
*
Post Code
*
Date of Birth
*
DD
/
MM
/
YYYY
2019/20 Age Group
*
U9
U10
U11
U12
01/09/10 - 31/08/11 (U9)
01/09/09 - 31/08/10 (U10)
01/09/08 - 31/08/09 (U11)
01/09/07 - 31/08/08 (U12)
Male or Female child
Please select
Male
Female
School
*
From September 2019
Current Cricket Club
*
If not a member of a Club put N/A
Ethnicity
*
English/Welsh/Scottish/North Irish
Irish
Indian
Pakistan
White/Black
Other Asian
Other
Prefer not to say
Parent's Details
Parent / Guardian Name
*
First
Last
Parent / Guardian Home Phone Number
Please do not use +44
Parent Contact Details
Mobile Phone
*
Please do not use +44
Mobile Phone (alternative)
Please do not use +44
Email address main contact
*
Email address alternative contact
Charley Cricket
Did your child participate in Charley Cricket in 2018/19
*
Yes
No
If yes, which venue did you attend
*
Please select
Rickmansworth
Stanborough
Verulam
Which group was your child in?
*
Please select
Muntjacs
Fallows
Sikas
Enter your unique reference number
*
Which Venue would you like to book
*
Sunday - Rickmansworth School, Rickmansworth
You are registering for a free taster session on Sunday 12 November and will have the opportunity to book a seven week course should you chose to do so.
Medical Information
Please detail any important medical information that our coaches should be aware of eg epilepsy, asthmas, diabetes, current medication, injuries
*
If none put N/A
Do you consider the player to have an impairment?
*
Yes
No
If yes, what is the nature of the impairment?
Visual
Hearing
Physical
Learning
Multiple
Other
If other please specify
I confirm that to the best of my knowledge, my child/the child in my care does not suffer from any medical condition other than those detailed above:
*
Yes
Photography Permission
I consent to the taking of photographs and films of my child and for their publication in newspapers, displays, Herts Cricket twitter and Facebook pages, Herts Cricket website reports and for coaching purposes.
I give my consent
I do not give my consent
Full details of the policy can be found on our website www.hertscricket.org
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.
Please tick to complete Data Protection Statement
*
I wish to receive information (opt in)
The Hertfordshire Cricket Limited Privacy Policy can be found on our webste www.hertscricket.org
Signature
*
Clear
Confirmation Email - No payment required
Once you have submitted the form you will receive a confirmation email from a no reply email address. Please double check your junk mail/spam folders if you do not receive this. Once your application has been processed you will be sent an email with details for the taster session.
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