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.

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City County Post Code Country

Contact number(Required)

Email(Required)

Enter Email Confirm Email

Date of Birth(Required)

Name of Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Medical Conditions

If you have any medical conditions of which we should be aware please give details below

Please indicate to which ethnic group you belong(Required)

Please select Membership type(Required)

To be completed by Playing Members only

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.

Comments

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

To be completed by Playing Members only

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