SCHOOL HOLIDAY CRICKET CLINIC REGISTRATION FORM
Level Up Arena Date: 11th July Time: 11:00am – 1:30pm Age Group: 7–15 years Cost: $40 per child Please complete this form to register your child for the School Holiday Cricket Clinic. Children must bring their cricket gear and a drink bottle.
Name
First Name
Last Name
Date of birth
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Age
School/Cricket club
Cricket experience
Beginner
Club level
Rep
Does your child bat, bowl, or both?
Batting
Bowling
Both
Parent / guardian full name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Emergency contact name
Emergency contact number
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any medical conditions?
Yes
No
If yes, please provide details
Is there anything else coaches should know?
I give permission for my child to participate in the Level Up Arena School Holiday Cricket Clinic.
Yes
No
I understand that cricket and sports activities may involve some risk.
Yes
No
Photo/video consent
Yes, I give permission for photos/videos to be taken and used for Level Up Arena promotions.
No, I do not give permission.
Payment method
Cash
Bank transfer
Card
Parent / Guardian Signature
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
I confirm that the information provided above is correct.
Should be Empty: