Personal Details of Member

    Emergency Contact Details

    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.


    We will use this information to establish if there are any additional needs/support/adjustments that you may require (if so, please feel free to discuss this with us) and for statistical purposes.

    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'.

    If No, please move on to the next section. If Yes Please provide more details below.

    Medical Information

    Please detail below any important medical information that our Club volunteers need to know and which may be relevant to your participation in cricket activities. Such as: allergies; medical conditions (for example epilepsy, asthma, and so on); current medication; special dietary requirements, any additional needs, and/or any injuries. Please indicate if you would like to discuss this privately with us.

    Not providing consent will not affect your membership of 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.

    Member Participation Agreement

    Please note that you have the right to cancel your membership of the Club at any time.

    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.

    Member Agreement