Collingbourne Cricket Club

Collingbourne Cricket Club

Membership Form 2024 Season
We are very pleased to welcome you to Collingbourne Cricket Club. To ensure that we have the correct contact details for you, please insert the information requested over the following few pages.
Please identify who you are filling this form out for?*

Myself, and I am over 18 years oldA player under the age of 18
Player's Name*

Player's First NamePlayer's Last Name
Name of Parent/Carer*

Parent/Carer First NameParent/Carer Last Name
Player's Age
Please confirm the age of the player on the 1st April 2024
Address*

Street Address

Street Address Line 2

Town/CityCounty

Post code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Phone Number of Parent/Carer*
Please enter a valid parent/carer phone number.
Email of Parent/Carer*
Please enter a valid parent/carer email. example@example.com
Emergency Contact Information
Emergency Contact name*

Emergency Contact First NameEmergency Contact Last Name
Relationship (Spouse, Mother etc.)*
Emergency Contact Relationship
Emergency Contact Phone Number*
Please enter a valid emergency contact phone number.
Medical Information
Does the player in question have any medical conditions that we should be aware of? (i.e. Diabetes, Epilepsy, etc.)
We may provide food as part of our match day. Are there any allergies that we need to be aware of? Please note: we have no control over away teams' teas.

Unfortunately you are required to agree with, and adhere to, our club rules and code of conduct.

Please contact the Club Secretary Julie Sinclair if you have any questions regarding this at julie@thesinclairs.me.uk
Should be Empty:

Emergency Contact Information