Junior Player Online Registration Form
For activities while operating under restrictions due to the COVID-19 Crisis

COVID-19
This form has been modified to allow registration of juniors for activities run by Worthing Cricket Club during the current COVID-19 crisis. All activities will be run in accordance with current guidelines set out by the Government and the relevant regulatory sports bodies.

As such, please ensure you fully understand and agree to adopt the Worthng CC COVID-19 guidance, and are familiar with the ECB and UK Government guidelines; links for these can be found in the declaration section at the foot of this form.

Personal Details

First Name *

Surname *

Date of Birth *

Address *

Town *

Postcode *

School *

Parent/Guardian Details

These details are used for automatically enroling Parents/Guardians as Non-playing Members of Worthing Cricket Club (anyone wishing to make use of the club and bar facilities must be registered with the club).

Parent/Guardian Name and Contact No.*

Parent/Guardian Name and Contact No.

Email *

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:

Please tick the applicable Group for your child

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

Junior Participation in Open Age (Senior) Cricket

Juniors from U13’s upwards (and U12 County players) are eligible to play Open Age (Senior) Cricket. If wish your child to participate you must submit a separate Participation Form that grants permission for a Junior to take part.

Payment

Registration is covered by a one-off payment of £10 per player to cover the expected limited training and matches for this year (Please note that this payment will not cover the £3 daily match fee for the Sussex Junior Cricket Festival should it go ahead).

Please confirm payment:

£10

Select your payment method *

Bank TransferStanding OrderCheque

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

As a final reminder, if anyone in your household is showing COVID-19 symptoms who has been to the Club, you should inform our Club Welfare Officer, Amanda Wheeler immediately at amanda.wheeler@worthingcc.com or by mobile on 07745 210154, so we can enact test & trace protocols.

Submission

Fields marked * must be completed