Application for Membership

This form should be completed by anyone requesting membership of Walmley Cricket and Sports Club.

Only adults and children included in this form will become members if the application is approved and payment made, so please include all names and details.

Once payment is set up (see links at the bottom of the page), the application will be sent to the committee for approval. No payment will be taken until the application is approved.

Type of Membership

JuniorAdultJointFamilyJunior ReducedAdult ReducedJoint ReducedFamily Reduced

Main Contact (Adult)

First Name

Last Name

Date of Birth (dd/mm/yyyy)

Email

Phone number

Home Address



Postcode

Second adult at the same address

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Email - if the person wishes to be added to our mailing list

Phone (optional)

Children of the Adults

Child 1

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Child 2

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Child 3

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Child 4

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Child 5

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Child 6

First Name (required)

Last Name (required)

Date of birth (required) (dd/mm/yyyy)

Message supporting your application: Reason for joining/link to club - if you have friends who are already members, please mention their names, etc (required)

Please confirm you accept the Codes of Conduct.
I accept and will abide by the Codes of Conduct

By checking the box below, you accept the Walmley Sports Club Privacy Policy and Terms and Conditions.
I accept the Privacy Policy and Terms and Conditions

Are you happy to be contacted about Walmley Cricket and Sports Club events and sports?
YesNo

PLease submit the form using the button below before clicking the payment links.

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