BVCC Junior Membership Form

First Name

100 characters left

Surname

100 characters left

Date of Birth DD/MM/YYYY

100 characters left

School Year

100 characters left

Age

100 characters left

Home Address

400 characters left

Home Phone Number

100 characters left

Email Address

100 characters left

Primary Emergency Contact

100 characters left

Relationship To Child

100 characters left

Contact Number

100 characters left

Secondary emergency contact

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Secondary Relationship To Child

100 characters left

Secondary Contact Number

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I am happy for my child to be photographed

No please do not photograph my child

Disabilities

400 characters left

Medical condition

400 characters left

Medical Allergies Food Allergies and Dietary Requirements

400 characters left

I agree to my child taking part in the activities of the club

I confirm that my child will comply with the requirements of junior members

I confirm that I will adhere to the Club’s Code of Conduct (copies displayed on club notice boards and website or provided on request)

I understand that I will be kept informed of cricket activities at the club e.g. timing and transport details for away matches when my child is involved.

I understand that in the event of any injury or illness all reasonable steps will be taken to contact me and to deal with that injury/illness appropriately

I am aware that if my child is age 13 in the forthcoming year they may be selected to play for the senior teams. I accept that my child is expected to turn up to cricket matches ready to play and that if my child needs to use the changing rooms they must wait until senior members have left the changing rooms.

I confirm that when transporting players to and from matches and training my car will have current/valid M.O.T tax and insurance.

I accept that when attending practice sessions or matches that my safety and that of any children in my charge who are not participating is my responsibility.

I accept that I am responsible for notifying BVCC of any changes to my child’s personal information.

I accept that I am responsible for notifying BVCC coaches and the Child Welfare Officer of any changes to medical information and treatment of medical conditions

I accept that I am responsible for administering any necessary medication to my child (other than inhalers)

I accept that BVCC cannot be responsible for taking appropriate measures or passing on medical conditions to emergency services if medical conditions are not disclosed

I accept that my child can use their own inhalers as and when needed.

I accept that my child will not be able to participate in practice sessions or matches unless they have their own named inhaler with them at all times.

Child's First Name

100 characters left

Child's Surname

100 characters left

Parent or Guardians Name

100 characters left

Parent or Guardians Signature Print

100 characters left

Today's Date DD/MM/YYYY

100 characters left

We need this information in order for your child to be a member of the club, to establish which cricket matches your child is eligible to play in based on their age and school year, and to contact you about cricket matches, cricket practices and club news and match sponsorship opportunities that are relevant to your child.

BVCC Junior Membership Form

£20.00