Earby Cricket Club Senior Playing Membership Form 2024 Season-Earby Cricket Club

Earby Cricket Club Senior Playing Membership Form 2024 Season

Benefits of Membership : PAY AS YOU PLAY - Membership Fee - £10 per match (Match Fee) ANNUAL SENIOR - Membership Fee - All Match Fees Included

First Name

Last Name

Date Of Birth

Address

Emergency Contact Details - Name

Emergency Contact Details - Address

Emergency Contact Details - Phone Number

Membership Type

Payment Type

Please provide details below of any important medical information

I understand that in the event of illness/injury I authorise you to deal with the illness/injury appropriately

IMPORTANT: The data collected is for the purposes of recording & processing your membership application & to send you latest offers & news via our eNewsletter and website. All data is kept secure & it is NOT distributed to ANY third parties.

Your Signature

Date