Registration for Bangor Cricket Club Youth 2022

For Season starting 26th April 2022
Address: Bangor RF&CC, Upritchard Park, Bloomfield Rd. South, Bangor

Contact:
Mark English for U9  and  U15 (07919115375)
Peter McIlwaine for U11 and U13 (07803855004)


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Name of child *
Date of Birth of child *
MM
/
DD
/
YYYY
School Year *
P1-P3
P4
P5
P6
P7
Year 8
YEar 9
Year 10
Year 11
Row 1
Gender *
Name of parent or guardian. *
Email *
Phone Number *
Name of 2nd carer (optional)
Phone no. of 2nd carer (optional)
Name and number of doctor (GP)
Details of any known allergies, dietary requirements, disabilities, medical conditions
is there any further information that you think it would be helpful for the coaches to know regarding your child?
Have you and your child read, understood and agree to our Codes of Conduct for young people and parents? *
Required
Have you read, understood and agree our Parent / Carer Statement? *
Required
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