Youth Registration form

Parent / Guardian Details

Name (parent of Youth player):

Occupation*

* Are you able to help CHCC in any way via your occupation? For example, are you an electrician or a plumber?
YesNo

Your Address:

Mobile / Contact number:

Your email:

Youth Player(s) Details

(Youth membership currently £40 per player)

Please read our Youth Policy (available HERE ), and click here to agree: I agree

Youth Player 1 Name:
Date of Birth: Current School Year:
Any medical conditions? YesNo (if yes, please note these in the comments box below)

Youth Player 2 Name:
Date of Birth: Current School Year:
Any medical conditions? YesNo (if yes, please note these in the comments box below)

Youth Player 3 Name:
Date of Birth: Current School Year:
Any medical conditions? YesNo (if yes, please note these in the comments box below)

Youth Player 4 Name:
Date of Birth: Current School Year:
Any medical conditions? YesNo (if yes, please note these in the comments box below)

The Youth Coaches are always looking for help with training, scoring & umpiring matches. Are you able to help in any way? YesNoMaybe

Spouse / Partner / 2nd Parent Details:

Their Name:
Their Occupation:
Their email:
Their Mobile / Contact number:
Their Address (if different to named member)

NOTES:

• Parent social membership is now included in Youth fees. If your child is registered, you now automatically become a social member of CHCC
• Playing membership fees include the use of indoor / outdoor nets when available
• All youth players MUST be registered and above fees fully paid to be eligible to use the club facilities, train and play matches
• Please ensure you register for CHCC Play Cricket to meet League requirements

Any further comments? (optional)

CLICKING THE SUBMIT BUTTON WILL SEND US YOUR DETAILS. IN THE BOXES BELOW, PLEASE SELECT THE NUMBER OF YOUTH PLAYERS AND SUBMIT PAYMENT

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