Senior Player Online Registration Form

    COVID-19
    This form has been modified to allow registration of seniors for activities and matches 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

    Name (required)

    Date of Birth (required)

    Country of Birth (required)

    If your Country of Birth is not "UK", what was your Date of Permanent Entry into the UK?

    Address (required)

    Postcode (required)

    Contact No. (required)

    Email (required)

    Please state Clubs (including Worthing CC) for which you currently hold league registration(s).
    If "None", please state.

    Preferred Playing Level

    To assist the Captains and the Club Cricket Committee in selection decisions, please can you indicate your playing level preference both for this season and where you are aiming to be within the next five years. You must select at least one for each case.

    While every endeavour will be made to support this initiative, on occasions it may be necessary for players to play in teams outside of their preferred choice(s).

    For this season (required):
    1st XI2nd XI3rd XI4th XISunday

    Within the next five years (required):
    1st XI2nd XI3rd XI4th XISunday

    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 £5 daily match fee).

    Please confirm payment:

    £10

    Select your payment method (required)

    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