Junior Player Online Registration Form

This form is to be used for the registration of Indvidual Juniors and First (eldest) if applying for Family Membership.

A separate form for registering additional junior family members is available on our website.

Personal Details

First Name *

Surname *

Date of Birth *

Address *

Town *

Postcode *

Contact No. *

Emergency Contact Name and No.*

Email *

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

This section needs to completed by the player if he or she is 12 years or older or, by the parent/guardian if the player is under the age of 12 . See Terms and Conditions.

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

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)

Annual Junior Subscription and Gift Aid

For all age groups, an annual Junior Subscription is payable to the club which covers all match fees and training sessions; £64 for Individuals and £100 for Family.

The Annual Subscription includes a voluntary contribution of £54 (individual) or £90 (Family). If you are a UK taxpayer, the club can recover tax from your donation under the Government Gift Aid scheme. Gift Aid is a UK tax incentive to facilitate tax-effective giving by individuals to charities or community amateur sports clubs (CASCs) like Worthing Cricket Club

For your payment to be eligible for Gift Aid you must pay an amount of Income Tax and/or Capital Gains Tax for the current tax year that is at least equal to the amount of tax on all charities and Community Amateur Sports Clubs (CASCs) that will be reclaimed on your gifts for the current tax year. Other taxes such as VAT and Council Tax do not qualify. Worthing CC will reclaim 25p of tax on every £1 that you donate.

The club can claim back tax that would otherwise go to HMRC. In the current tough financial climate with rising pitch fees etc, this additional income is vital to help the club maintain its programme while mitigating against future price increases to members.

To Gift Aid your payment, please tick the box and provide the name and address of the donor:

I wish to Gift Aid my Donation

Name of Donor

Address of Donor (if different to above)

Please notify Worthing Cricket Club if at any time you:

  • Wish to cancel your Gift Aid 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).

Further details are available on the HMRC Gift Aid website

Payment

The Annual Junior Subscription for 2019 is £64 for Individuals or £100 for Family. This includes the structured voluntary contribution detailed above.

Please tick which Membership category you are applying for:

Individual (£64)Family (£100)

Select your payment method *

Bank TransferStanding OrderChequeCash

Standing Order or Bank Transfer is via: HSBC Bank, Sort code 40-47-22, Account No. 01108662

Cheques are payable to Worthing Cricket Club

Please return cheques or cash to:
Andy Lutwyche, 54 Marlowe Road, Worthing, West Sussex BN14 8EP

Declaration

Submission

Fields marked * must be completed