West Essex Cricket Club: Womens Membership Application 2025
To be filled out by Parent of applicant
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1. Contact Information
Full Name (as per Passport) *
Email *
Mobile Number *
Home Address *
Post Code *
Date of Birth *
MM
/
DD
/
YYYY
Country of Birth (If not UK) *
Date of Arrival in the UK
Please only fill out if Country of Birth is NOT UK
MM
/
DD
/
YYYY
2. Emergency Contact Details
Full Name *
Contact Number *
Relationship with you *
3. Disability
Do you have any physical or mental health conditions or illnesses that have lasted or are expected to last 12 months or more *
4. Medical Information
Please detail any important medical information that club volunteers need to know and which could be affected by your participation in cricket activities. Such as: allergies, medical conditions e.g  asthma, current medication, special dietary requirements, or injuries.  *
Medical Consent *
Required
5. Club Photography / Video Consent
I consent to the club photographing, videoing or live streaming my involvement in cricket in line with club policy.  *
6. Privacy Statement
West Essex Cricket Club take the protection of the data that we hold about you as a member seriously and will ensure that the data you provide is processed in accordance with data protection legislation.

Please read the full privacy notice on our website www.westessexcc.co.uk 
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