Family membership form

(For parents / guardians of children registered with our junior section)

This form is designed to be completed by players aged over 18 who have children playing with our junior teams. Those wishing to take out individual membership should complete the senior membership form instead.

SECTION 1: PERSONAL DETAILS OF PLAYER(S) / OFFICIAL(S)

All information in this section will be provided to the ECB and will be used and protected as described in the Privacy Notice.

MEMBER 1

First Name

Last Name

Date of birth

Home Address

Postcode

Preferred telephone number

E-mail

If you answer "yes", should you be selected to play in a League requring player registration, relevent information from this section (including month and year of birth) will be provided to that League to enable them to check eligibility to play in its competitions.

MEMBER 2 (IF APPLICABLE)

First Name

Last Name

Date of birth

Home Address

Postcode

Preferred telephone number

E-mail

If you are, or you become, a Club official, the Club may provide information within this section to County Boards or Leagues of which the Club is a member or affiliated to, in order to enable the relevant body to contact you about cricket matters.

If you are a player and attend a County Board or League run event (e.g. trials, nets or representative fixtures), the Club may provide your name and contact details to the relevant League / County Board to enable them to notify you of arrangements.

SECTION 2: NAMES OF CHILDREN

Please give the names of your children registered with the Club's junior section.

Child 1

Child 2 (if applicable)

Child 3 (if applicable)

SECTION 3: EMERGENCY CONTACT DETAILS

MEMBER 1

Name of adult who can be contacted in an emergency

Phone number of named adult

Relationship this person has with you

MEMBER 2 (IF APPLICABLE)

Name of adult who can be contacted in an emergency

Phone number of named adult

Relationship this person has with you

The person or persons completing the form must ensure that each person whose information you include here knows what will happen to their information and how it may be disclosed.

SECTION 4: SPORTING EXPERIENCE (OPTIONAL)

MEMBER 1

If "other" selected, plase specify

MEMBER 2 (IF APPLICABLE)

If "other" selected, plase specify

SECTION 5: DISABILITY (OPTIONAL)

The Equality Act 2010 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".

MEMBER 1

MEMBER 2 (IF APPLICABLE)

SECTION 6: MEDICAL INFORMATION (MANDATORY)

Please detail any important medical information that our Club volunteers may need to know, and which could be affected by your participation in cricket activities. Please state any allergies, medical conditions (e.g. asthma, epilepsy, etc.), current medication, special requirements, injuries and / or any additional needs. Please indicate if you would like to discuss this privately with us.

MEMBER 1

Medical information

Name of GP / Surgery

GP / surgery phone number

MEMBER 2 (IF APPLICABLE)

Medical information

Name of GP / Surgery

GP / surgery phone number

SECTION 7: MEMBER AGREEMENT (MANDATORY)

MEMBER 1

I agree to taking part in club activities

I confirm that I have read, or have been made aware of, the club's policies concerning: changing / showering, transporting children, photography / video, anti-bullying and the code of conduct and social media/text/e-mail

I understand and agree to the responsibilities I have regarding these policies.

MEMBER 2 (IF APPLICABLE)

I agree to taking part in club activities

I understand and agree to the responsibilities I have regarding these policies.

These policies are listed on the club website in the "policies and documents" section

SECTION 8: CLUB PHOTOGRAPHY / VIDEO CONSENT (OPTIONAL)

MEMBER 1

I consent to the club photographing or videoing my involvement in cricket, in line with the club' photography/video policy.

MEMBER 2 (IF APPLICABLE)

I consent to the club photographing or videoing my involvement in cricket, in line with the club' photography/video policy.

If you do not wish to give consent for this, please contact us to discuss how we can manage any potential photography or videography. Not giving consent will not affect your membership of the club.

Your name and photo may appear on the Club’s website, in match reports, on scorecards and in materials published by both the Club and the League. If you have any concerns about this and wish to speak in confidence with the Club then please contact the club at rainhillcricket@gmail.com

SECTION 9: PRIVACY STATEMENT

Rainhill CC takes seriously the protection of the data that we hold about you as a member, and we will ensure that the data you provide is processed in accordance with relevant data protection legislation.

Please read the full privacy notice carefully to see how the club will treat the personal information that you provide to us, who it may be disclosed to and why, and your rights in respect to your personal data. .

SECTION 10: DIVERSITY MONITORING (OPTIONAL)

Rainhill Cricket Club wants to ensure that all members applicants are treated equally whatever their race, gender, age, sexual orientation or religious belief. To do this we are asking some question about people who apply to join us. These questions are entirely optional, but we would be grateful if you would complete the following short questionnaire. Your answers will be treated in the strictest confidence and will be collated separately to the rest of the information supplied within this form.

MEMBER 1

If "other" selected, please specify

MEMBER 2 (IF APPLICABLE)

If "other" selected, please specify

Many thanks for your answers.

DECLARATION(S)

MEMBER 1

By completing this form, I confirm that I have read and understood the permission statements on this membership form and the privacy notice.

Signature

Select a date

MEMBER 2 (IF APPLICABLE)

By completing this form, I confirm that I have read and understood the permission statements on this membership form and the privacy notice.

Signature

Select a date

PAYMENT

This form is not complete until you submit payment for membership.

The club has a range of family membership options, which are listed below.
Further information on membership fees can be found here.

Please select one of these options, and click "go to checkout" to make payment.

Please note that juniors who are part of a family membership will pay the usual monthly subscription and parents/guardians should complete the junior membership form. The payment taken here is only for the senior (adult) membership element.

Members aged 18 and over who take out family membership are full members of the club and have the same rights as any other senior member.
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Select your membership category

One female parent - £45.00

One male parent - £70.00

Two parents - £90.00

Two female same-sex parents - £70.00

RCC is an inclusive that welcomes same-sex couples. The family membership of £90 applies to both opposite-sex parents and male same-sex parents. In the case of two female parents, in order to ensure there is a saving the club has set the fee at £70.

Many thanks for submitting the membership form and for your payment.