Affiliation with the Bairnsdale Cricket Association
Bairnsdale Cricket Association
Application/ Renewal of Affiliation with the BCA
Completed by
*
Name
Position (President/ Secretary)
2) We, the
Type a label
*
, apply for affiliation with the BCA for the upcoming season.
We understand that it is a condition of affiliation, that our club has insurance policies as nominated ad arranged for by the BCA. We agree that payment for these will be made by the 30th September of the current season.
*
True
False
We agree that our affiliation fee will be paid in full by 31st December of the current season.
*
True
False
President
*
Name
Phone Number
Email Address
Vice President
Name
Phone Number
Email Address
Secretary
*
Name
Phone Number
Email Address
Treasurer
Name
Phone Number
Email Address
Curator
Name
Phone Number
Email Address
Senior Coach
Name
Phone Number
Email Address
Club Delegate
Name
Phone Number
Email Address
Nominated Umpire
Name
Phone Number
Email Address
Club Postal Address
*
Unit/ Flat No.
Street Address/ PO Box
City
State
Post Code
Club Email address
*
example@example.com
This form must be completed and submitted by the 31st July, and be accompanied by a completed Grading Nomination form (eform or paper).
Submit
Should be Empty: