Shireshead & Forton Cricket Club
Senior Membership Form (over 18) 2021
Please complete this membership form and return with the appropriate membership fees
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Home Telephone Number
Mobile Telephone Number
Date of Birth
Spouse & Dependant Details for Family Membership if paying full senior membership
MEDICAL DETAILS & CONSENT
Family Doctor Address
Family Doctor Telephone Number
Emergency Contact Name
Emergency Contact Tel. Number
I give my consent that in an emergency situation, the Club may act if the need arises for the administration of emergency first aid and / or other medical treatment which in the opinion of a qualified medical practitioner may be necessary.
Tick here to give consent
Preferred payment is online: Sort Code 40-27-02, account number 51847597. Please reference with your name & 'annual subs'.
Senior Playing Member £40.00 (£50 if paid after 31st May)
Ladies Playing Member £10
DECLARATION & CONFIRMATION
Your personal details will be held in accordance with the EU/UK General Data Protection Regulation (GDPR) 2018.
I confirm that the information I have provided is accurate.
I confirm that I agree to abide by the various codes of conduct including the “Spirit of Cricket” operated by S&FCC. These codes of conduct are available both on the Club House Notice Board and S&FCC website. I also agree to abide by UK Government COVID Guidance.
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