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SURNAME ............ FIRST NAME ...
DATE OF BIRTH .. AGE AT 31ST August 10(This is not a misprint!!!)
ADDRESS: ....
POST CODE ......
HOME TEL NO: ... MOBILE: .....
EMAIL(Very important) : .......
Both PARENTS or GUARDIANS names: ..... Contact Details
If different from above
ALTERNATIVE CONTACT DETAILS ....
SCHOOL .......
PLEASE CONFIRM IF WILLING TO PLAY IN THE INDOOR LEAGUE YES / NO (delete as necessary)
MEDICAL HISTORY - IS THERE ANYTHING WE SHOULD BE AWARE OF ?
........
INJURY DETAILS - IS THERE ANYTHING WE SHOULD BE AWARE OF?
.....
PLEASE NOTE:
Increasingly Parents have cause to be concerned about the welfare of their children from many points of view.
To put your minds at rest every ECB Qualified Coach has attended the Child Protection Courses run by Wiltshire County Council and they have also passed the Criminal Record Bureau check.
As recommended by the ECB, all Club helpers and volunteers have submitted self declaration forms which are held by the club welfare officer.
The England and Wales Cricket Board recommend that Coaches from Level 2 upwards use photographic means where necessary to assist them in correcting any technical flaws in a players bowling technique which can help avoid physical damage. This method can also assist batsmen in their correct development.
We wish to give you an assurance that if photo/video images are taken that they will be securely stored if they are required for future reference and that at no time will they be available to anyone outside the coaching team at Langford. We would therefore request that you sign below to indicate whether or not you agree to us using this method where we consider it necessary.
I will not / will permit the use of the photo/video as mentioned above SIGNED ....
DATE ...
As well as coaching sessions the club is committed to playing competitive games during the season both outdoors(summer months) and indoors(winter months).
We would therefore request that you also sign below to indicate whether or not you give permission for your child to play in these competitive games if selected and that transport to and from these games will be the parents/carers responsibility.
I will not / will permit my child to play in competitive games and be responsible for transport to and from these games as mentioned above
SIGNED ....
DATE ...
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