Game Changers Cricket

Game Changers Cricket

Registration Form
This is the registration form for Game Changers Cricket - Cublington CC’s disability cricket programme. Participants, or their parent, guardian or caregiver, should complete the form before attending their first session.

For more information, please visit our website or contact us at gamechangers@cublingtoncc.org.
Participant
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date

DayMonthYear
Date
Age
Email
example@example.com
Mobile Phone
Please enter a valid phone number.

Disabilities and Medical Details

We strive to make Game Changers Cricket accessible for everyone. Here, we ask about a participant's disability so that our coaches and volunteers can be prepared to adapt any activity to their needs. Some participants may require a parent or carer’s involvement to assist with their needs. We will always work with a participant’s care network to ensure each participant receives the best experience possible. If you would like to discuss any specific accessibility needs, please contact us at gamechangers@cublingtoncc.org.
Disability*
Please select one key disability category.
Medical Conditions
Further Information
Please elaborate where appropriate with details of the participant's disability and/or medical conditions so our coaches and volunteer team can best support their needs.

Parent, Guardian or Carer Contact Details

Cublington Cricket Club will communicate directly with any Game Changers Cricket participant who is 18 years old or older that we have contact details for. Contact details entered on this page will also be included in standard Game Changers Cricket communications, as well as used in case of an emergency.
Name*

First NameLast Name
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Relation to Participant*

Parent, Guardian and Carer Involvement

Coaches and volunteers are crucial to the success of our disability cricket section and help to enhance the experience for their own child and others. Volunteering your time is never expected but is always greatly appreciated. No prior experience of cricket is needed to get involved, only your enthusiasm! Parents, guardians and carers are welcome to join in a session. Sometimes, a participant's responsible adult may be asked to support their child during an activity or support the coaches and officials in other ways to provide their child with the best experience.
How would you like to support Cublington Cricket Club?*

Supporting my child (if necessary, when appropriate)Become a coach/support coachAssist with administrative dutiesGeneral help around the club (e.g. serving tea and coffee)None
How frequently would you like to assist?*

Every weekSome weeksMinimal weeks

Photography and Video
In order to promote our programmes, we like to ensure that the activities of the project and the achievements of its participants are celebrated, for example, by using pictures and videos on our website and social media sites.

To ensure the appropriate use of images and videos, we encourage you to review Cublington CC's Live Stream, Photography and Audio Visual Recording Policy which outlines our approach to capturing and using visual content. This policy explains how we prioritise the safety and privacy of our participants while sharing the excitement of cricket with the wider community.
Do you consent to Cublington Cricket Club photographing or videoing the named participant's involvement in cricket in line with the Cublington CC Live Stream, Photography and Audio Visual Recording Policy?*

YesNo
Privacy and Data Protection
Cublington Cricket Club respects your privacy and is committed to protecting your personal data. Our Privacy Notice outlines how we collect, use, and protect your personal information. By submitting this form, you acknowledge that you have read and understood the Privacy Notice and consent to the processing of your personal data as described therein.
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Participant