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Membership Form EASTBOURNE CRICKET CLUB
We are very pleased to welcome you to Eastbourne Cricket Club. To ensure we have the correct contact details for you, please fill out this Membership Form and return it to Eastbourne Cricket Club, Eastbourne Saffrons Sports Club, Compton Place Road, Eastbourne, East Sussex, BN21 1EA.
If you are under the age of 16 please also ask your parents / carer or guardian to sign the Membership Form before it is returned. We will also use this information to ensure that you are kept informed about events and information from Eastbourne Cricket Club.
Section 1 – Personal Details.
Whilst it is not compulsory that the following section is completed, the footnote at the end of this Membership Form explains why this section is important.
Section 3 – Disability The Disability Discrimination Act 1995 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’.
Section 4 - Sporting Information
Section 5 – Medical Information
Please detail below any important medical information that our coaches/junior coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)
Section 6 – Emergency Contact Details
This section is to be completed by the parent / carer or guardian:
Please insert the information below to indicate the persons who should contacted in the event of an incident / accident:
Emergency Contact Person 1: Emergency Contact Person 2: Name: ______________________________ Name: _________________________________ Relationship to individual: _______________ Relationship to Individual: _________________ Home Tel: ____________________________ Home Tel: ______________________________ Work Tel: ____________________________ Work Tel: ______________________________ Mobile Tel: ____________________________ Mobile Tel: _____________________________
By returning this completed Membership Form, I agree to my child in my care taking part in the activities of Eastbourne Cricket Club.
I understand that I will be kept informed of activities at Eastbourne Cricket Club – for example times and transport details etc…
I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately.
Name of parent/carer/guardian:
Signature of parent/carer/guardian:
Date:
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Eastbourne Cricket Club Sponsors and Associates Click on the sponsor to view their business If you would like to advertise your business in the space above please contact ECC via e-mail - here.
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