Additional Junior Player Online Registration Form

This form should be completed by the parent or legal guardian of any player under the age of 18 for registering Additional Juniors under the Family Membership scheme.

Name of First Child

Please provide the name of the (first) child used to register for Family Membership:

First Name *

Surname *

Additional Child Personal Details

First Name *

Surname *

Date of Birth *

School *

Medical Information

Provide details of any medical conditions or disabilities which should be brought to the attention of the managers and coaching staff. See accompanying note in the Terms and Conditions.

Ethnicity

Select one option. This section is not compulsory, however, please read the explanatory note in the Terms and Conditions.

White BritishWhite IrishIndianPakistaniBangladeshiOther AsianCaribbeanAfricanOther BlackMixed White & Black CaribbeanMixed White & Black AfricanMixed White & Asian

Use of Photographic Media for Publication

I consent to Worthing Cricket Club photographing or videoing my child’s involvement in cricket and to his/her name and/or Club name being published with any photograph in any authorised Club/Event publication or Press article. See Terms and Conditions.

Accepted

Age Group

Juniors are placed in Groups according to age and gender, as shown below:

Junior Age Groups

Please tick the applicable Group for your child

Softball (Mixed)Hardball Boys (U11/U12)Hardball Boys (U13/U15)Hardball (Girls)

Declaration

Submission

Email *

Fields marked * must be completed