Portsmouth & Southsea Cricket Club
Colts Membership Form 2008
www.pandscricket.com
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SURNAME |
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FIRST NAME |
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DATE OF BIRTH |
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CONTACT DETAILS |
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ADDRESS
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POSTCODE |
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HOME TELEPHONE
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MOBILE TELEPHONE |
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EMAIL ADDRESS |
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NEXT OF KIN |
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SCHOOL ATTENTED |
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DOCTOR/GP |
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DOCTOR’ S TELEPHONE |
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PLEASE NOTE
The Club Policy in line with the England and Wales Cricket Board is that helmets must be worn at all times by wicketkeepers standing up to the stumps and by all batsmen engaged in practices or matches involving a hard cricket ball.
Additionally you are requested to note the following
The Club cannot accept responsibility for the loss or damage of property during practices or matches. Those running the Club are not professionally employed cricket personnel. Parents remain responsible for the conduct of their own children, and that the children must be encouraged at all times to abide by the rules of the Club, Hampshire Cricket Board and the laws of the game.
Subscriptions
All players are required to pay an Annual Subscription of £75.00 to P & S CC Colts. This covers membership to the club, all winter club sessions, all summer training and all Colts match fees. Colts matches will be played at St James. Subscriptions are due and payable by 31 January 2008. However 3 x £25.00 cheques post-dated for the end of January, February and March will be welcomed. Please make cheques payable to P & S CC. For families with more than 1 Colt there is reduction of £15 for the 2nd Colt & £25 for each additional Colt thereafter. Eg a family with 3 Colts will pay £75 + £60 + £50 = £185. Until the subscription has been paid in full players will not be considered for selection.
Declaration
On election to membership, I undertake that I will pay the Annual Subscription Fee (as shown above).
I consent to my child receiving emergency medical treatment should it be necessary.
I consent/do not consent* to my child be administered mild painkillers eg Paracetemol
I undertake to ensure that coaches are made aware of any medical issues or illnesses, regular medication, allergies or other ailments which might require previous knowledge.
I consent/do not consent* to the taking of photographs of my child for use on the Club Website. Names will not be published.
The Club holds certain data relating to each member. This information includes the member’s name, address, age and other details of a purely administrative nature. The data is used for the purpose of organising matches and events. This information may be disclosed to third parties such as the SEHCA and HCC and other parties to facilitate the smooth running of the Club. It is necessary for the Club to obtain your consent to use the data that the Club holds on the member in the way envisaged above and we would be very grateful if you would sign and return this form to signal your consent.
Signed
……………………………………… (Parent/Guardian) Date………………………………
* Delete whichever not applicable
Please return form and payment to: Ian Power, 9 The Poplars, Waltham Chase,
Southampton, SO32 2RH.