Hampton Hill Cricket Club Senior Membership Form 2021
Email address *
Forename *
Surname *
Alternative Email
Date of Birth
MM
/
DD
/
YYYY
Membership Type *
Concessions = Over 17 but not in Full Time employment
Post Code *
Address *
Main Contact Number *
Alternative Contact Number
First Emergency Contact Name *
Relationship *
First Emergency Contact Number *
Alternative Emergency Contact
Relationship
Alternative Emergency Contact number
Doctors Surgery *
Doctors Phone No *
Medical Issues , incuding allergies *
Details Medical Issues, including allergies and medication
Membership Fees Due
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Membership Fees Paid *
PAYMENT *
New Members, how did you find us ?
Data Protection. The Club will only use the information provided on this form (together with other information it obtains about the player) (together “information”) to administer his/her cricketing activity at the Club and in any activities in which he participates through the Club and to care for and supervise activities in which he/she is involved. In some cases this may require the Club to disclose the information to County Boards, Leagues and to the England and Wales Cricket Board. In the event of a medical issue or child protection issue arising, the Club may disclose certain information to doctors or other medical specialists and/or to police, children’s social care, the Courts and/ or probation officers and, potentially to legal and other advisors involved in an investigation. The club will not pass on personal data to third parties for marketing purposes. *
Required
I confirm I have read (available on www.hamptonhillcricket.co.uk or in hard copy at the HHCC clubhouse), Hampton Hill Cricket Club’s Code of Conduct and agree to abide by it. I understand that not abiding by this Code of Conduct may result in my membership of the club being terminated. *
Required
I agree that all newsletters/ AGM reports will be delivered to me via email to the address given above
Clear selection
I want to Gift Aid any donations made to Hampton Hill Cricket Club ( CASC 742) in the last four years and for any future donations
Clear selection
If you are willing to help the club in any way , such as helping with our Junior section, Building maintenance, Professional skills, Social activities , Teas/ Sunday morning rolls, then please let us know below,
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