Youth 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.

Youth membership type

Please select the correct option for your child, CHCC teams for U9, U11, U13, U15, U17s will be youth playing members.*Youth playing member £65.00 no match feesGYCL Youth team member £25.00 no match feesGirls National Cup team member £10.00 no match fees

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 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

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

Youth Player Registration Form

Person registering the youth player

Junior playing member's details

Second parent's details

Gift Aid declaration

Verification