Academy Youth Cricket Registration Form 2012 

ACADEMY CRICKET CLUB - YOUTH CRICKET SECTION

Name:

.

School:

.

Class/Form:

.

Date of Birth:

.

Address:

 

  

 

 

EMAIL

 

 

Telephone Number(s):

 

.HOME

BUSINESS

MOBILE

 

Name of Parent/Guardian ____________________________

Please ensure that you give a number or numbers where you may be contacted in case of an emergency during training and matches.

Is there any medical conditions of which the Club should be aware e.g. allergies, asthma, skin conditions?

 

Please circle age group below

Under 9s (P3,4,5) Mondays 7.00 – 8.00pm Castle Grounds 23 April – 25 June £20

Under 11s (P6,7) & Under 13s (Forms 1 & 2) Tuesdays 6.30pm-8.30pm Roughfort April –August £30

Under 15s (Forms 3 & 4) Mondays 6.30pm – 8.30pm Roughfort April – August £30
 

I give my consent to____________________________ joining Academy Cricket Club Youth Cricket Section and enclose payment of £_____

Parent or Guardian Signature ________________________      Date:

Cheques payable to Academy CC

Season starts week beginning 16th April 2012