Whalley Range Cricket & Lawn Tennis Club Application For Membership 2025 Recurring Payment

£0

Total
Membership Type
Membership Type
What is Your Primary Sport
How Many Family Members are you Buying the Membership for?

Please tell us how many family members you are purchasing this membership for, including yourself
Do You Have an Associated Adult Playing or Social Membership?

Do You Have an Associated Adult Playing or Social Membership? Yes No

For insurance purposes, each Junior Membership must have an associated Adult Membership. If no Adult Membership exists, an additional Adult Social Membership at £15
Name of Adult with Membership Name of Adult with Membership First Last
Name of Adult for Social Membership Name of Adult for Social Membership First Last
Address of Adult Address of Adult
Street Address Address Line 2 City County Postcode Country
Contact Phone for Adult
Contact Email for Adult
What is the Membership For?
Additonal Adult Details

For insurance purposes, we require members under 16 to have an associated Adult Social Membership (£10). Please enter their details below
Name of Adult Name of Adult First Last
Address (If Different From Applicant) Address (If Different From Applicant)
Street Address Address Line 2 City County Postcode Country
Contact Phone

Please provide a contact number for the applicant. This should be the best way to contact the applicant or their parent/ guardian by phone
Contact Email

Please provide a contact number for the applicant. This should be the best way to contact the applicant or their parent/ guardian by email
Ethnicity
Applicant Details
First Adult Personal Details
Name Of Applicant Name Of Applicant First Last
Date of Birth Date of Birth / DD / MM YYYY
Current School Year

Please tell us the applicant's current school year
Name of Parent/ Guardian Name of Parent/ Guardian First Last
Applicant's Address Applicant's Address
Street Address Address Line 2 City County Postcode Country
Which Higher Education Institution do You Attend?
Contact Number

Please provide a contact number for the applicant. This should be the best way to contact the applicant or their parent/ guardian by phone
Email Address

Please provide a contact number for the applicant. This should be the best way to contact the applicant or their parent/ guardian by email
What is the Membership For?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI
Ethnicity
Do You Have Any Disabilities or Special Needs?
Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Add a New Adult to Family Membership

Add a New Adult to Family Membership
Second Adult Personal Details
Name of Adult Name of Adult First Last
Contact Number
Contact Email
What is the Membership For?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI
Ethnicity
Do You Have Any Disabilities or Special Needs?
Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
If none, please enter N/A
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Add a New Child to Family Membership

Add a New Child to Family Membership
First Child Personal Details
Name of Child Name of Child First Last
Date of Birth Date of Birth / DD / MM YYYY
Current School Year

Please tell us the applicant's current school year
Contact Number

If the child does not have their own contact number, please use a parent/ guardians
Contact Email

If the child does not have their own contact email, please use a parent/ guardians
What is Their Primary Sport?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI
Ethnicity
Do You Have Any Disabilities or Special Needs?
Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
If none, please enter N/A
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Add a New Child to Family Membership

Add a New Child to Family Membership
Second Child Personal Details
Name of Child Name of Child First Last
Date of Birth Date of Birth / DD / MM YYYY
Current School Year

Please tell us the applicant's current school year
Contact Number

If the child does not have their own contact number, please use a parent/ guardians
Contact Email

If the child does not have their own contact email, please use a parent/ guardians
What is Their Primary Sport?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI
Ethnicity
Do You Have Any Disabilities or Special Needs?
2Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
If none, please enter N/A
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Add a New Child to Family Membership

Add a New Child to Family Membership
Third Child Personal Details
Name of Child Name of Child First Last
Date of Birth Date of Birth / DD / MM YYYY
Current School Year

Please tell us the applicant's current school year
Contact Number

If the child does not have their own contact number, please use a parent/ guardians
Contact Email

If the child does not have their own contact email, please use a parent/ guardians
What is Their Primary Sport?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI Child 3
Ethnicity
Do You Have Any Disabilities or Special Needs?
Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
If none, please enter N/A
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Add a New Child to Family Membership

Add a New Child to Family Membership
Fourth Child Personal Details
Name of Child Name of Child First Last
Date of Birth Date of Birth / DD / MM YYYY
Current School Year

Please tell us the applicant's current school year
Contact Number

If the child does not have their own contact number, please use a parent/ guardians
Contact Email

If the child does not have their own contact email, please use a parent/ guardians
What is Their Primary Sport?
The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI
Ethnicity
Do You Have Any Disabilities or Special Needs?
Do You Experience Barriers or Limitations in Your Day-to-Day Activities Related to Any Disability or Special Need?
Any Significant Health Issues We Need To Be Aware Of?
If none, please enter N/A
Any Disabilities we Need To Be Aware Of?
If none, please enter N/A
Please let us know if the applicant has any disabilities we should know about
Gender of Applicant
Emergency Contact

Please provde an Emergency Contact for the Applicant(s) if Under 18
Name of Emergency Contact Name of Emergency Contact First Last
Emergency Contact Number
Relation to Applicant
Junior Members - Photography and Filming

Parents/ Guardian - please sign as appropriate
Photogaphy and Filming Permission

Photogaphy and Filming Permission I Confirm

I give permssion for the applicant to be involved in any publicity, including photographs and TV footage, surrounding activities organised by Whalley Range Cricket and Lawn Tennis Club
Draw your signature into the box below.

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.
Date Date / DD / MM YYYY
Relationship to Child
Privacy Policy

All personal information collected by Whalley Range Cricket & Lawn Tennis Club is done so exclusively with your consent, by means of a form posted on our website, an email received from you or by telephone. No information is collected automatically. The personal information collected is only used Whalley Range Cricket & Lawn Tennis Club staff for the purposes related to Whalley Range Cricket & Lawn Tennis Club and specific to your membership. We do not share your information with any third parties. As mentioned above, we use your personal information appropriately in line with your membership in order to send you newsletters and make you aware of any matters related to Whalley Range Cricket & Lawn Tennis Club. We will not, in any circumstances, share your personal information with other individuals or organisations without your permission, including public organisations, corporations or individuals. We do not sell, communicate or divulge your information to any mailing lists outside of Whalley Range Cricket & Tennis Club.
Confirm

Confirm
Code of Conduct

I agreed to adhere to the Club Code of Conduct that can be found on the website and in the Member's Handbook
Confirm

Confirm
Safeguarding

Whalley Range CC (the club) has a Safeguarding Policy in place, and as such, you understand the policy, the club’s commitment to it, and your responsibilities regarding safeguarding as a member of the club
Confirm

Confirm
£0

Total

Whalley Range Cricket & Lawn Tennis Club Application For Membership 2025 Recurring Payment

£`0`

Total

Membership Type

Additonal Adult Details

Applicant Details

First Adult Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Second Adult Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

First Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Second Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Third Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI Child 3

Fourth Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Emergency Contact

Junior Members - Photography and Filming

Privacy Policy

Code of Conduct

Safeguarding

£`0`

Total

Whalley Range Cricket & Lawn Tennis Club Application For Membership 2025 Recurring Payment

£0

Total

Membership Type

Additonal Adult Details

Applicant Details

First Adult Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Second Adult Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

First Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Second Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Third Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI Child 3

Fourth Child Personal Details

The Next Few Questions Will Help us Understand More About our Membership in Relation to EDI

Emergency Contact

Junior Members - Photography and Filming

Privacy Policy

Code of Conduct

Safeguarding

£0

Total

£`0`

£`0`