EmailMe Form - Girls Charley Cricket Form

Player's Details

Name *

First Last

Home Address *

Town *

County *

Post Code *

Date of Birth *

DD / MM / YYYY

2020-21 Age Group *

01/09/10 - 31/08/11 (U10)
01/09/09 - 31/08/10 (U11)
01/09/08 - 31/08/09 (U12)

School *

Current Cricket Club *

If not a member of a Club put N/A

Parent's Details

Parent / Guardian Name *

First Last

Parent / Guardian Home Phone Number *

Parent Contact Details

Mobile Phone *

Mobile Phone (alternative)

Email address main contact *

Email address alternative contact

Charley Cricket Free Sessions at Ridgeway Academy

These are outdoor sessions on all weather pitches so we intend for them to go ahead regardless of the weather

Which dates would you like to attend

Wednesday 31 March - Ridgeway - 12:00-13:15

Tuesday 6 April - Ridgeway - 13:30-14:45

Both Dates

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?

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

Data Protection Statement:

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

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.

Signature *

Clear