Over 18s Playing/Training Registration Form This form should be filled in by any player who is age 18 or over. The parents or legal guardians of those age 17 or below should use the Youth Playing/Training/Membership Application Form. Please read the information on the Codes of Conduct and Policies page. Details on this form will be held securely and will only be shared with coaches/managers/captains or others who need this information in order for you to take part in sporting activities at Walmley Cricket and Sports Club. Your data will be retained for up to one year after you last participated in sport at Walmley Cricket and Sports Club or until you have left the Club. Unfortunately for your safety and well-being, we can not allow you to take part in sport at Walmley Cricket and Sports Club without the information requested in this form. Have you have filled in a Walmley Cricket and Sports Club on this site for yourself before, and are updating your details? yesno We will email you a copy of the information you fill in (excluding the sections marked by ‡). Details First Name (required): Last Name (required): As well as our Senior and Women's teams we run the following age group teams: U18, U19 and over 40s. Are you eligible to play for any of those teams? Age group —Please choose an option—U18U19Over 40No What is your Date of Birth? Place of birth if not British Passport Holder (For League registration classification, otherwise put British passport) MaleFemaleOther We need an email address and mobile phone number to contact you with details about training, matches, cancellations, etc. Please supply an email address which you check regularly Please supply a mobile number Home Address Postcode Emergency Contact Please supply the details of an adult who we can contact in an emergency. Emergency Contact's First Name (required) Last Name (required) Relationship to you (required) Emergency contact mobile number (required) Special or Additional Needs‡ Please provide information about any issue you may have so that we can determine what reasonable adjustments may be required to your full participation in Club activities Do you consider you have a disability, impairment or any other issue or condition we need to know about? YesNo Please provide details Medical Information‡ Medical information is option for adults. Any allergies YesNoNot answering Please provide details including allergy medication Any other specific medical conditions requiring medical treatment? YesNoNot answering Please provide details including medication required (eg pain/inhaler) Sport For the sport(s) you have signed up for, please indicate whether they have played before, where and what level. Badminton Has you played badminton before? noyes If yes, please specify where and what level Basketball Has you played basketball before? noyes If yes, please specify where and what level Cricket Has you played cricket before? noyes If yes, please specify where and what level Football Has you played football before? noyes If yes, please specify where and what level Darts Has you played darts before? noyes If yes, please specify where and what level Table Tennis Has you played table tennis before? noyes If yes, please specify where and what level Permissions Yes, I confirm that I have read, or been made aware of, Walmley Cricket and Sports Club policies concerning: Codes for conduct for Members and Guests, Coaches, Youth, Anti-Bullying Policy Transport policy Changing room policy Code of Conduct for Photography, Filming and Social Media Broadcasting Yes, I have read Walmley Cricket and Sports Club Privacy Policy and consent to Walmley Cricket and Sports Club providing my data to Walmley Cricket and Sports Club coaches, managers and others, as well as the Sport's Governing Body and Leagues etc when required in order to for me to take part in activities. Are you happy to be contacted about other Walmley Cricket and Sports Club events and sports? YesNo Other notes Δ Share this:TwitterFacebookWhatsApp
