TO BE COMPLETED AND RETURNED BY 30th APRIL

The Club has adopted the ECB Child Welfare policy, copies of which are available from the Child Welfare Officer and on the club website. This registration form is being used to ensure that all relevant areas of the policy are being addressed, as well as to provide the club with information to help it to communicate with you better – after completion please return pages one to four to your team manager, along with the subscription payment. Please retain pages 5 & 6 for your own information.

Please complete using BLOCK CAPITALS

Section 1 – Personal Details

CHILD’s NAME:

DATE OF BIRTHAGESCHOOL YEAR:

PARENT/GUARDIAN’S NAME:

ADDRESS:

POST CODE:

E-MAIL:

HOME TEL No.:MOBILE:

Section 2 – Emergency Contact Details (alternative contact)

In the event of an incident or emergency situation, where a parent or legal guardian named above cannot be contacted, please provide details of an alternative adult who can be contacted by the Club. Please make this person aware that his or her details have been provided as a contact for the Club:

NAME:

RELATIONSHIP TO CHILD:

(e.g. Aunt, Neighbour)

CONTACT No.:

Section 3 – Disability

The Disability Discrimination Act 1995 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’.

Do you consider your child to have a disability?YESNO

If yes, what is the nature of the disability?

Visual ImpairmentHearing ImpairmentPhysical Disability

Learning DisabilityMultiple DisabilityOther (please specify)

Details:

Section 4 - Sporting Information

Has your child played cricket before? YES NO

If yes, where has this been played?

Primary SchoolClubLocal Authority Coaching Session(s)

Secondary SchoolCountyOther (please specify below)

Section 5 – Medical Information

Please detail below any medical information that our Coaches need to know

(e.g. allergies, medical conditions, current medication, injuries, special dietary requirements)

Name of Doctor / Surgery Name

Doctor’s / Surgery Telephone No.:

Section 6–Annual Subscriptions

Annual subscriptions for 2014 are £40 for juniors in the U11 to U17 age groups and £20 for the U9 age group and are payable by 30th April (cheques should be made payable to EAUCC). This form, together with the appropriate fee, should be handed to your Team Manager by 30th April.

Juniors players are not deemed members of the club until confirmation of the appropriate payment is in place with the Membership Secretary. All Juniors who participate in club activities (i.e. Training, Coaching, Playing – competitive and friendly fixtures), must be a member of the club and only those deemed Juniors Members will be allowed to participate in such activities.

Section 7–Volunteering

Would you be able to help East Ardsley United Cricket & Athletic Club and, if so, in what capacity?

Umpiring (senior or junior)ScoringJunior Coach / Team Assistant

Work on the groundAssist with teas / refreshmentsJoin the committee

Other (please specify)

I am not able to helpat this time.

If you have offered to volunteer a committee member will contact you.

Section 8–Lottery Bingo

The club runs a Lottery Bingo game to raise funds. Membership costs £4 per month (payable by standing order) and over 50% is paid out in prize money. Games run around 6 weeks on average and at present the winning prize is around £66 but the more people that join the bigger the prize.

If you are interested in joining and helping to raise much needed funds as well as having a chance to win a decent cash prize please tick the box below and we will contact you.

I am interested in joining the Lottery Bingo game

Section 9– Consent Statement

(Please Tick all boxes, but do NOT tick any box where you DO NOT AGREE)

I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those detailed above

I give my consent that in an emergency situation, the Club may act in loco parentis, if the need arises for the administration of emergency first aid and / or other medical treatment which, in the opinion of a qualified medical practitioner, may be necessary. I also understand that in such an occurrence that all reasonable steps will be taken to contact me or the alternative contact named in Section 2 of this form.

I give my consent to the use of photography or video by the club in the coaching of cricket and to promote and celebrate the activities of the club under the terms and conditions of the clubs Photography & Video Policy

I confirm that I have responsibility for the child named above and am entitled to give this consent.

I agree to my child taking part in the activities of the club.

I confirm that my child will comply with the Junior Code of Conduct

I confirm that I understand the spirit of the Code of Conduct for Parents/Guardians/Spectators.

I understand that I will be kept informed of cricket activities at the club – for example timing and transport details for away matches when my child is involved

I confirm that my child has to wear a helmet whilst batting or wicket keeping (standing up) against a hard ball.

I am aware that should my child play for a senior adult team they may have to share changing and showering facilities with adults and give my consent if this is the case.

I confirm that I have read or been made aware of the club’s ‘Child Protection Policy’, ‘Equality & Diversity Policy’ and ‘Code of Conduct for Members and Guests’ and agree to abide by them.

I confirm that, to the best of my knowledge, all information provided on this form is accurate and I undertake to advise the club of any changes.

Data Protection – I understand and agree that the Club will use the information provided on this Membership Form (together with other information it obtains about the player) to administer cricketing activities at the Club and in any activities in which he/she participates through the Club and to care for and supervise activities in which he/she is involved. In some cases this may require the Club to disclose the information to County Boards, Leagues and to the England and Wales Cricket Board. In the event of a medical issue or child protection issue arising, the Club may disclose certain information to doctors or other medical specialists and/or to police, children’s social care, the Courts and/or probation officers and, potentially to legal and other advisers involved in an investigation.

Signed:

Name:

Date:

East Ardsley United Cricket & Athletic Club

Jeffrey Field, off Bradford Road, East Ardsley, Wakefield, WF3 2HB

Tel/Fax: 01924 822207 Email:

Internet:

Coaches and Managers

Club Coaches and Managers (qualified or unqualified) have completed a Criminal Record Bureau (CRB) check.

All Club members who have regular contact with children will also be asked to have a CRB check.

All other members of the Club will be asked to complete a Self Declaration Form.

Junior Club Rules

The club is fully committed to safeguarding and promoting the well-being of all its members. The Club believes that it is important that members, coaches, administrators and parents/carers associated with the Club should, at all times, show respect, be encouraged to be open at all times, and to share any concerns or complaints that they may have about any aspect of the Club with the Club Child Welfare Officer.

As a member of East Ardsley United Cricket & Athletic Club you are expected to abide by the general rules within the ‘Club Constitution’ and by the following ‘Junior Code of Conduct’.

  • All members must play cricket within the laws and in the spirit of the game.
  • All members must respect colleagues, opponents and officials. Do not make derogatory comments or gestures about your colleagues or opponents. Never try to intimidate the opposition by threats or excessive triumphalism.
  • Be polite to umpires and respect their decisions. Do not show dissent! Do not throw tantrums or cricket bats. Such behaviour invites sanctions from Club officials.
  • Members should keep to agreed timings for practice and matches or inform their coach or team manager at the earliest possible opportunity if they cannot play or are going to be late.
  • All members must wear the appropriate kit – properly. Cricket whites and suitable trainers or cricket shoes should be worn for matches but tracksuits are permitted for practising.
  • All players under the age of 18 years must wear helmets when batting and when standing up to the stumps when wicket-keeping.
  • Members must pay any subscriptions or fees for training or events promptly
  • Junior members are not allowed to smoke, consume alcohol or take drugs of any kind on the club premises or whilst representing the club.

The Child Welfare Officer

The Club’s Child Welfare Officer with responsibility for the young members is:

MARK HOLDSWORTH (tel: 07850 460828)

The Child Welfare Officer will:

  • Act as the first point of contact for the reporting of Child Welfare and Protection concerns
  • Help and safeguard young people by assisting in the promotion and implementation of the “Welfare of Young People Policy” at a Club level
  • Assist in the raising of awareness of others at the Club in respect of Child Protection
  • Be a source of advice and information within the Club
  • Uphold confidentiality, as far as is practical, in all Child Protection matters
  • Liaise with the County Welfare Officer when appropriate

Code of Conduct for Parents/Carers

  1. Encourage your child to learn the laws of the game and to play within the spirit of those laws
  2. Discourage unfair play and disputes with officials/coaches
  3. Help your child to recognise good performance, not just results
  4. Never force your child to take part in any sport
  5. Set a good example by recognising fair play and by applauding the good performances of all
  6. Never punish or belittle a child for losing or making mistakes
  7. Publicly accept the judgement of officials without argument or comment
  8. Support your child`s involvement and help them to enjoy cricket and to develop within it
  9. Use correct and proper language at all times
  10. Do not forget, children are involved in organised sport for their enjoyment and not yours.

Guidelines for Club Changing Policy

The Club has applied the following guidelines, which apply to Adults and Young People (under the age of 16) sharing changing facilities:

  • Adults should try to change and shower at separate times to Young Players.
  • If Adults and Young Players need to share a changing facility, the Club must have consent from the parents/carers that their child/children can share a changing room with Adults in the Club.
  • If Young People are uncomfortable changing or showering with Adults, no pressure should be placed on them to do so. Encourage them to do this at home.

The Club Constitution and other associated documents can be found on the East Ardsley United Cricket & Athletic Club website ( by following the “Club Info” and “Documents links”.

We hope that you and your child enjoy the club facilities and the committee would like to know if there is anything that you think could be improved.

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