Junior Enquiry Form
Your details (Parent / Guardian)
First name *
Your answer
Last name
Your answer
Email address *
Your answer
Phone *
Your answer
Junior details
First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
School
Your answer
Junior playing profile
How many years has your child been playing cricket?
Medical Information & Consent
In an emergency the Club may need to act in loco parentis, 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. In such an occurrence all reasonable steps will be taken to contact you.
I consent to my child receiving first aid or medical assistance *
Please detail below any medical condition(s) that we should be made aware of (e.g, asthma, epilepsy, diabetes etc), or type none *
Your answer
Terms & Conditions
The coaches and the Club are not responsible for personal injury, loss or damage to property whilst your child attends the club.

You confirm that you have read and agreed to abide by the rules of the Club, having read the Safeguarding Policy and Code of Conduct. These can be viewed by visiting the policies section of our website.

By printing your name below you confirm you agree to abide by the rules of the Club.

Parent or Guardian please type your name here *
Your answer
And finally
How did you hear about us?
Can we add you to our database to share upcoming news, events, etc? *
Submit
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This form was created inside of South Hampstead Cricket Club.