Amersham CC and Cricket Vision Summer Camp Registration
Please pay either by cheque made out to “Amersham Cricket Club” or by bank transfer to Amersham Cricket Club, details are the following: Account Number: 49041560, Sort Code: 30-90-38. If you have any questions about the camps please do not hesitate to contact Ian Rogers (Chairman of Amersham Cricket Club):
/ 07778706179 or Tim Doughty (Director of Cricket Vision):
/ 07810468241 or Ben Doughty (Director of Cricket Vision):
Son/Daughters Full Name
Son/Daughters Date Of Birth
Parents Full Name
First and Last name
Parents Phone Number
Which days do you want to attend?
If you are coming to all days select 'All Days'. If you would like to book individual days use the other options.
Monday 31st July
Tuesday 1st August
Wednesday 2nd August
Is your son/daughter a:
Wicket Keeper/ Batsman
Does your son/daughter have any allergies?
If you answered yes to the last question please give details:
If you answered no just put N/A in the box below.
Please give any medical history that we should be aware of
Emergency Contacts - Please provide two different emergency contacts!
Email address and Phone number
Would you like to be put on Cricket Vision's mailing list?
We only email out special offers, private coaching and camp news.
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