Junior Membership Form - Liverpool Cricket and Sports Club

Membership is open to all applicants regardless of age, ability, disability, gender, race, ethnicity, sexuality, nationality, religious belief or social/economic status.

All details will be kept in a secure database with access restricted to authorised Club officers only.

In line with GDPR new regulations (2018) by signing and completing this application form you agree to your personal data being stored on our database. Should your membership lapse, your data will be stored for a period of 12 months and then deleted.

Applicant's Name(Required)

Prefix First Last

Applicant's Phone

Date of Birth(Required)

School(Required)

School Year(Required)

Name of Parent / Carer(Required)

First Last

Parent / Carer Contact Number(Required)

Address(Required)

Street Address Address Line 2 City County Post Code Country

Name of Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Email(Required)

Enter Email Confirm Email

Medical Conditions(Required)

If your son / daughter has any medical conditions of which we should be aware please give details below. If not, please write 'NONE'.

Please indicate to which ethnic group you belong(Required)

Please select Membership type(Required)

To be completed by Playing Members only

Declaration

I consider my child to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided. Furthermore, if my child is injured, I give my permission for the team managers/coaches to obtain emergency medical treatment on my behalf for my child. I also consent to my child travelling to venues for matches and training by transport provided by the club which may include travelling in other players’ private cars.

Yes

Please indicate your main sport(Required)

Once you submit this form, it will be processed in the Club Office, including the seeking of proposal and seconding required under the Club's Articles of Association. We will contact you shortly to discuss collecting your payment.

Photo Consent

The Liverpool Cricket Club Ltd recognises the need to ensure the welfare and safety of all young people in sport. As part of our commitment to ensure the safety of young people we will not permit photographs or video images of young people to be taken or used without the consent of both the Legal Guardian and the young person. All sections will follow the guidance for the use of images of young people as detailed by their own national governing bodies.

The Liverpool Cricket Club Ltd will take steps to ensure these images are used solely for the purposes for which they are intended, which is the promotion and celebration of activities of the young players along with their use as a training/coaching tool.

If you become aware that these images are being used inappropriately, you should inform the section’s welfare officer immediately.

If at any time a legal guardian or young person wishes the data to be removed from the website, seven days’ notice must be given to the section after which the data will be removed.

Parental Consent(Required)

I give consent for my child to be photographed/videoed by his/her Sport Section Leader under the rules and conditions stated. I confirm that I have legal parental responsibility for this child and am entitled to give this consent and that that there are no restrictions related to taking photographs.

I understand that if I do not permit my child to be photographed or videoed then it is my responsibility to ensure that this is complied with.

Yes

This field is for validation purposes and should be left unchanged.

To be completed by Playing Members only

Photo Consent

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