Carrickfergus Cricket Club
Christmas Programme
Cricket Development Academy (School Years 8 to 11). Fundamental Skills Programe (School Years 4 to 7)
Player Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian name
First Name
Last Name
Parent/Guardian e-mail address
example@example.com
Parent/Guardian mobile number
-
Area Code
Phone Number
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Which Programme will your player be attending?
Please Select
Fundamental Skills Programme (school years 4-7)
Cricket Development Academy (school years 8-11)
I would like to sign my player up to the following package (either opt for full programme or select weeks your player can attend)
Full Programme £25
Sunday 19 November £8
Sunday 3 December £8
Sunday 10 December £8
Sunday 17 December £8
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Does you player require any special assistance, for example a disability they live with or any activities they wouldn’t be able to participate in?
Does your player have any medical issues or allergies we need to know about? Please provide details and of any medication they may require
Is there anything else we need to know about? Please provide details
Carrickfergus Cricket Club seek to provide a safe and enjoyable experience for all young people undertaking activities with us. I agree to:
My player taking part in the stated activity
Carrickfergus Cricket Club will keep a record of this form for health and safety issues
Any medical treatment required in the event of an emergency
My player being photographed or videoed during the activity with the possibility of images being used for the purposes of publications or for marketing publicity. Carrickfergus Cricket Club will take all steps to ensure photographs and videos are used solely for the purposes intended
My mobile number to be added to a WhatsApp group where the coaches will communicate information through
Signature
Date
-
Month
-
Day
Year
Date
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