Safehands Workshop (SHW) Courses
Application Form
Click on the Black Text and Type your Details or Select Option in order to complete your application.
My Full Given Name on Passport / My Date of Birth. / My Age.My Postal Address.
My Post Code / My Home Phone Number / My Mobile Number
My E-mail - All Correspondence where possible will be done via e-mail.
Name of My Cricket Club / Name of School – Teachers only
Ethnicity - Please Select
The 2 below pre-requisites must be completed by every applicant in order for your application to be considered. Depending on what qualifications you hold there are two possible routes, please note you must select the correct option:
Welfare Officer & Qualified Cricket Coach / Welfare Officer Only1 – SPC / SYC Course
Select an Option / 1 – SPC Course
Select an Option
2 - DBS Check (Cricket Specific)
Please Post me a Form / 2 - DBS Check (Cricket Specific)
Please Post me a Form
Please put a 1st and 2nd choice of course below:
Venue / Date & Time / Choice / CostSurrey Cricket Centre
George Abbot School, Woodruff Avenue, Burpham, Guildford, GU1 1XX / Wednesday 23rd March 2016
7pm-10pm / Choice? / £15
Downsend School
1 Leatherhead Rd, Leatherhead, Surrey, KT22 8TJ / Tuesday 19th April 2016
7pm-10pm / Choice? / £15
Chessington Cricket Club
Sir Francis Barker Ground, Leatherhead Rd, Chessington, Surrey, KT9 2NB / Monday 11th July 2016
7pm-10pm / Choice? / £15
Merstham Cricket Club
The Pavilion, Quality Street, Merstham, Surrey, RH1 3BB / Tuesday 13th September 2016
7pm-10pm / Choice? / £15
Please note that without the pre-perquisites and payment your application cannot be considered. By completing this booking form you are also stating that you understand and will adhere to the booking terms and conditions on the below page.
Payment Details EnclosedBy Cheque / Postal Order Made Payable to Surrey Cricket Board.
I Authorise Kennington Oval Ltd to debit the following type of credit / debit card :
Card Number – Please Enter the 16 Digits on the Card. / Enter 3 Digit Security Number (found on the back)
Valid From: MM / YY. / Expiry Date: MM / YY / Issue Number (Maestro & Solo).
Name of Card Holder – as it appears on the card / Date : DD/MM/YYYY
Post To: Colette Gooding, Surrey County Cricket Centre, George Abbot School, Woodruff Avenue, Burpham, Guildford, Surrey, GU1 1XX. You can also email your application to f you are paying by card, but please note we cannot guarantee the e-mail security.
The information supplied by you on this application will be used by the Surrey Cricket Foundation for the purpose of processing your application. From time to time Surrey County Cricket Club (SCCC) and Surrey Cricket Foundation (SCF) and may wish to provide you with information regarding cricket related events and information on products and services offered by the SCCC, SCB and/or the ECB and each of their commercial partners. If you do not wish to be contacted please tick the follow box(es)
Booking Terms & Conditions
- . If a candidate cannot attend the course they have booked onto for any reason they must contact Surrey Cricket 7 full working days before the course starts on 0207 820 5684 or via e-mail on . If Surrey Cricket is able to re-allocate the place before the course starts a full refund will be given. However, if it is not possible to fill the place no refund will be given.
- Candidates who do not turn up for the Course will notreceive a refund.