J&V Harlequins Cricket Academy Membership
Please complete the following registration form to become a member of the J&V Harlequins Cricket Academy for the 2025/2026 cricket season
Name
*
Members First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Identity Number
*
please enter a valid ID
Age Group
*
Please Select
Junior (15 and below)
Senior (16 and above)
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/ Guardian Name for Junior Member
First Name
Last Name
Parent/ Guardian Contact Number for Junior Members
Please enter a valid phone number.
Next of Kin Name
*
First Name
Last Name
Next of Kin Contact Number
*
Please enter a valid phone number.
Terms and Conditions
The registration and participation of any person is subject to payment of the annual subscription fees. The fees are communicated separately to this registration process. Flexible payment arrangements are available but we request that all members pay at least R450 on registration. All personal information provided is treated with the utmost confidentiality. Any dissemination of information will only be to fulfil disclosure requirements to the Titans Cricket Union and Harlequin Club as and when required. In addition, the club may also use photographs and videos of players and parents in the context of the club's activities and share these via our various online platforms.
Acceptance of Terms and Conditions
*
Please Select
Accept
Playing Shirt (Please indicate size)
*
Bank details
Bank: Capitec Bank Branch Code: 470010 Name: J and V Harlequins Cricket Academy Account Number: 2439673265 Amount: R450.00 Email proof of payment to: reg@jvharlequins.co.za using the members name as the reference
Submit
Should be Empty: