JUNIOR PLAYER MEMBERSHIP FORM

This form is designed to be completed by the parent of legal guardian of any player under the age of 18.

Once completed the information contained in this form will be sent to the Draycott & Hanbury Registration Secretary. You will receive a confirmation message on the email address you supply in the form.

Section 1: Personal Details of the Junior Player

Date of birth:

Section 2: Personal Details for Parent or Legal Guardian of the Junior Player

Section 3: Emergency Contact Details

Can we use your details above as a contact in case of an emergency?

If no, please provide the contact details of an alternative adult below. As the person completing this form you must ensure each person whose information you include in this form knows what will happen to their information and how it may be disclosed.

Section 4: Disability

We will use this information for statistical purposes as well as to establish if there are any additional needs, support or adjustments that your child may require. If you have any worries please discuss this with us.

The Equality Act 2010 defines a disabled person as anyone with 'a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities'.

Does your child have any physical or mental health conditions or illnesses that have lasted or are expected to last 12 months or more?

Does this disability or illness affect you in any of the following areas?

Section 5: Medical Information

Please detail below any important medical information that our coaches or junior co-ordinator need to know and which would be affected by your child's participation in cricket activities. Such as:

Please indicate if you would like to discuss this privately with us.

Doctor's Details

Medical consent

Not providing consent will not affect their membership to the Club, however giving us consent to share this information will help club volunteers to know how to respond effectively in the case of any medical emergency.

Section 6: Participation Agreement

Please tick the box below to agree to your child taking part in Club activities. This must be ticked in order for them to be eligible to play for the Club.

Please confirm that if you have read, or have been made aware of, the Club policies listed below. Clicking on the links will open the appropriate policy in a new window.

Changing and Showering policy

Anti-bullying policy

Photography and Filming policy

Social Media, text and email policy

Transporting, Managing and Missing Children information

Junior Code of Conduct

Section 7: Club Photography and Video Consent

If you do not wish to give consent for this please contact us to discuss how we can manage any potential photography. Not giving consent will not affect your membership of the Club.

Section 8: Privacy Statement

Draycott and Hanbury Cricket Club take the protection of the data that we hold about you as a member seriously and will ensure that the data you provide is processed in accordance with data protection legislation.

Please read our Privacy Notice to see how the Club will treat the personal information that you provide to us.

Parent or Legal Guardian Agreement

Please enter the date.