Cricket Youth Registration Form

Youth Player Registration Form

Instructions All fields marked with an asterisk * are mandatory. If you have previously registered only complete details that have changed since you last registered. If you are registering a new player please complete all fields. Once complete click "Submit". A confirmation email will be sent to your email address.

Person registering the youth player

Your name *
Your home telephone number
Your mobile telephone number
Your work phone number Will only be used in emergencies
Your email address *(A confirmation email will be sent to this address)
Your address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Your occupation Do you have specific skills or expertise that might be of use to the cricket club? For example, are you a builder or a plumber?
Your relationship to youth player For example are you their parent, guardian, carer etc
Do you wish to register as a social member? *
This will entitle you to use the cricket club facilitiesYesNo

Junior playing member's details

Junior player - name *
Junior player - date of birth (displayed in US format mm/dd/yyyy)
Junior player - gender
MaleFemale
Junior playing member contact preferences *
Do you give permission for team managers or captains to contact your child directly for playing matters such as availability for matches?Yes - captains or managers may contact my child directly about playing cricketNo - please only contact me or the other parent
Junior player - home phone number If different to your details
Junior player - mobile phone number
Junior player - email address
Junior player - educational establishment Which school or college does your child attend?
Junior player - medical conditions Please provide details of any pre-existing medical conditions, allergies etc
Junior player acknowledgement - helmets *
In compliance with ECB guidelines it is Coalpit Heath Cricket Club policy that all U18 players MUST wear a cricket helmet when batting, wicket keeping or fielding within approximately 8m of the batsmen. The club will make available helmets to all U18 playersAcknowledged
Junior player acknowledgement - photos and videos *
I consent to Coalpit Heath Cricket Club, members of the press or other parents photographing or videoing my child playing cricket or celebrating Coalpit Heath CricketAgreed
Junior player acknowledgement - transport *
It is Coalpit Heath Cricket Club's policy that parents, relatives or guardians or their authorised represenative is responsible for transporting their child to and from matches. Parents should contact the team manager if they have problems with transportation.Agreed

Second parent's details

Instructions: Please provide contact details for a second parent / guardian, if required. Only complete details where these are different to your own.
Second parent - name
Second Parent - address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Second parent - home phone Only provide if the second parent resides at a separate address
Second parent - mobile phone
Second parent - work phone This number will be used only in emergencies
Second parent - email
Second parent - occupation Do you have specific skills or expertise that might be of use to the cricket club? For example, are you a builder or a plumber?
Second parent - sign up to become a social member *
Would you like to register the second parent as a social member? (Annual fee applies)Yes - please register the second parent as a social memberNo - do not register the second parent as a social member

Gift Aid declaration

Declaration I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand Coalpit Heath Cricket Club will reclaim 28p of tax on every £1 that I donated up to 5 April 2008 and will reclaim 25p of tax on every £1 that I donated on or after 6 April 2008.
Gift Aid options *
Do you want the cricket club to claim GiftAid on donations made?Yes - I want the Cricket Club to claim GiftAid on all donations madeNo - I do not want the Cricket Club to claim GiftAid on all donations made
Important Please notify the charity or CASC if you: - Want to cancel this declaration - Change your name or home address - No longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Your Name *
Today's date *(NB displayed in US format mm/dd/yyyy)

Verification

Please enter any two digits with no spaces (Example: 12) *
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Cricket Youth Registration Form

Youth Player Registration Form

Person registering the youth player

Junior playing member's details

Second parent's details

Gift Aid declaration

Verification

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