Junior Playing Memberships

This Junior Membership Form should be completed by the parent or legal guardian of any player under the age of 18. The junior player should be made aware of the 'Code of Conduct for Junior Members' which is available here http://www.honleycc.com/policy.html

There is a £10 discount for your 2nd and third child.

We will use this information to ensure that you are kept informed about events and information concerning Honley Cricket Club.

£0

Total
First child (£60)

First child (£60) please tick
Name Name First Last
Please provide your name
Date of Birth Date of Birth / DD / MM YYYY

Please provide your date of birth
School

Please tell us the school the applicant attends
School Year

Please tell us which school year the applicant is in at, as at the start of the current season
Gender

For girls in years 5 & 6 please fill in the U11 girls player membership form to get a discount.

Please tell us the applicant's gender.
Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach.

Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach. YES - I am happy to be included in photos. NO - I am NOT happy to be included in photos.option

Please refer to our policy on Photography & Video Guidelines here.
Add a 2nd child (£50)

Add a 2nd child (£50) This includes a discount
Name Name First Last
Please provide your name
Date of Birth Date of Birth / DD / MM YYYY

Please provide your date of birth
School

Please tell us the school the applicant attends
School Year

Please tell us which school year the applicant is in at, as at the start of the current season
Gender

Please tell us the applicant's gender
Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach.

Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach. YES - I am happy to be included in photos. NO - I am NOT happy to be included in photos.option

Please refer to our policy on Photography & Video Guidelines here.
Add a 3rd child (£50)

Add a 3rd child (£50) This includes a discount
Name Name First Last
Please provide your name
Date of Birth Date of Birth / DD / MM YYYY

Please provide your date of birth
School

Please tell us the school the applicant attends
School Year

Please tell us which school year the applicant is in at, as at the start of the current season
Gender

Please tell us the applicant's gender
Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach.

Child photo parental consent.
We sometimes take photos at matches and training sessions and also of each team for use on social media. If you have any concerns please discuss with your childs relevant coach. YES - I am happy to be included in photos. NO - I am NOT happy to be included in photos.option

Please refer to our policy on Photography & Video Guidelines here.
Next, please tell us how to get in touch with the applicant and their parent/ carer...
Parent/ Carer Name Parent/ Carer Name First Last
Please tell us the name of the applicant's parent/ carer
Parent/ Carer Mobile

Please provide the parent/ carer's mobile telephone number

Please note that you should provide both area code and telephone number, separated by a space
Home Telephone (optional)

Please provide the applicant's home phone number

Please note that you should provide both area code and telephone number, separated by a space
Parent/ Carer Email Address

Please provide the parent/ carer's email address
We may need to contact you or another responsible adult in an emergency; we may also need to seek medical assistance, so please CAREFULLY complete the details below...
Emergency Contact Emergency Contact First Last
Please provide the Name of someone who can be contacted in the unlikely event of an Emergency and if the main parent or carer is unavailable
Their relationship to you

e.g. Wife, husband, parent, family friend, other relative, etc.
Emergency Contact Phone

Please provide the Landline or Mobile Telephone Number of an Emergency Contact

IMPORTANT: this should be a number on which we can almost certainly reach them in the unlikely event of an emergency.
Doctor's Name

Please provide the name of the usual doctor of the applicant
Surgery Name

Please provide the name of the doctor's surgery normally used by the applicant. This should be the surgery at which the doctor named above is based
Surgery Phone

Please provide the telephone number of the doctor's surgery detailed above
Please note that you should provide both area code and telephone number, separated by a space
Medical Conditions

Please provide details of any recognised disability(ies) or medical conditions that affect the applicant.

If none, please enter N/ A
Almost finished, just the formalities to complete...
Draw your signature into the box below.

On some browsers you need to click the grey 'draw' button first.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
I have read & agreed the T&Cs

I have read & agreed the T&Cs

Please tick this box to confirm that you / the applicant have read and agreed to the relevant and applicable Terms & Conditions, Codes of Conduct and Rules
£0

Total

Junior Playing Memberships

Junior Playing Memberships

£`0`

Total

Next, please tell us how to get in touch with the applicant and their parent/ carer...

We may need to contact you or another responsible adult in an emergency; we may also need to seek medical assistance, so please CAREFULLY complete the details below...

Almost finished, just the formalities to complete...

£`0`

Total

Junior Playing Memberships

Junior Playing Memberships

£0

Total

Next, please tell us how to get in touch with the applicant and their parent/ carer...

We may need to contact you or another responsible adult in an emergency; we may also need to seek medical assistance, so please CAREFULLY complete the details below...

Almost finished, just the formalities to complete...

£0

Total

£`0`

£`0`