Parental Permission Form
Participation in Czech Cricket matches by under 18’s is subject to the requirements and restrictions as set out in the Junior Playing Conditions.
This form must be returned to the league Administrator prior to anyone under the age of Eighteen (18) participating in open age league cricket in the Czech Republic.

leagueadministrator@czechcricket.cz
Name *
Address *
Date of Birth *
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DD
/
YYYY
Parent's/Guardian's name
Parent's/Guardian's Contact number *
Parent's/Guardian's email address *
Name of alternative adult who can be contacted in an emergency *
Alternative adults relationship to child *
Alternative adult's contact number *
Any specific medical conditions requiring medication *
If yes please give details
Any specific medical conditions or disability?
Any allergies?
Any dietary requirements?
Consent information *
Required
*
MM
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DD
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YYYY
Submit
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