Membership Registration
Cricketers Club Membership Form
Email address *
PLAYERS NAME *
Your answer
DATE OF BIRTH *
DD/MM/YYYY
Your answer
PLAYERS MOBILE *
+263 XXXXXXXXX
Your answer
GUARDIAN MOBILE *
+263 XXXXXXXXX
Your answer
GUARDIAN EMAIL *
Your answer
MOTHERS PHONE *
+263 XXXXXXXXX
Your answer
MOTHERS EMAIL *
Your answer
FATHERS PHONE *
+263 XXXXXXXXX
Your answer
FATHERS EMAIL *
Your answer
MEDICAL INFORMATION & CONSENT (To be completed by PARENT or GUARDIAN) MEDICAL CONDITIONS – Please specify any condition or allergies *
Your answer
DECLARATION *
I accept that cricket is a dangerous sport, which by its nature involves a degree of risk of personal injury. I acknowledge that ‘ACHPP Bakers INN Futures League’ cannot ensure complete safety at all times, I therefore accept these risks and agree to be responsible for the involvement of my son. I accept that ‘ACHPP Bakers INN Futures League’ cannot be held liable for any injuries caused to my son or caused to others, due to his participation or involvement in the league. I confirm that I have read the above and I understand the conditions as set out therein.
SIGNATURE *
By entering your name below you are agreeing to the above information
Your answer
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