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Woodham Mortimer Cricket Club Membership Form 2024
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
First line of address
*
Your answer
Second line of address
Your answer
Town
*
Your answer
County
*
Your answer
Postcode
*
Your answer
Email address
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Details of medical condition/disability
*
Your answer
Ethnicity
*
Choose
I prefer not to say
Asian - British
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Any other Asian background
Black, Black British, Caribbean or African
White and Black Carribbean
White and Black African
White and Asian
Any other mixed or multiple ethnic background
White British
Any other White background
Gypsy or Irish Traveller
Arab
Any other ethnic group
Emergency contact details
*
Your answer
Membership type
*
Standard Playing Membership - £100
Concession Playing Membership - £65
1809 Club Membership - £15
Other:
I agree to abide by the clubs
Constitution
and
Code of Behaviour
and
Spirit of Cricket
ethos.
*
I agree
I consent to have my details added to our membership database for match fees and membership collection. I also consent to the club registering me as a Woodham Mortimer CC player on Play-Cricket for the 2024 season.
*
I agree
I understand that all information held by the club is in line with the
Data Protection Act 2018
*
I understand
I would like to receive regular email updates regarding the progress and future plans of the club from the committee.
This will be a brief summary with items the committee may need help with from members like events which are scheduled.
*
Yes
No
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