MEMBERSHIP FORM

We are very pleased to welcome you to Tonbridge Cricket Club. To ensure we have the correct contact details for you, please fill out this Membership Form and hand it to one of the coaches upon your arrival at a session. A fee of £40 will be required with the form to cover the season’s Saturday coaching sessions.

We may use this information to ensure that you are kept informed about events and information from Tonbridge Cricket Club.

Section 1 – Personal Details (Child)

Name:
Age & Date of Birth:
Name of School

Section 2 – Personal Details (Parent/Legal Guardian)

Name:
Address:
Postcode:
Parent/Legal Guardian’s occupation (we are looking for potential volunteers to help out within the club)
Home number:
Mobile:
Email:

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 yourself to have a disability? / Yes / No
If yes, what is the nature of your disability?
Visual impairment / Physical disability Multiple disability
Hearing impairment / Learning disability
Other (please specify):

Section 4 - Sporting Information

Have you played Cricket before? / Yes / No
If yes, where have you played Cricket: (please indicate below)
Primary school / SpecialEducationNeedsSchool
Club
Other (please specify)

Section 5 – Medical Information

Name of Doctor/Surgery:
Doctor/Surgery Telephone number:
Please detail below any important medical information that our coaches/junior coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)

Section 6 – Emergency Contact Details (alternative contact)

In the event of an incident or emergency situation, where a parent/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:
Relations which this person to the young person: / E.g. Aunt, neighbour etc…
Home telephone number:
Mobile:

Section 7 - Automatic Non- Voting Membership Status

Junior membership of the club also provides that the parent(s)/ legal guardian(s) of the child are given non-voting membership of the club as part of that junior membership. This entitles the parent(s)/ legal guardian(s)no additional privileges that would otherwise be gained by paying the appropriate adult membership fee(s). Any use of facilities (for example social/training/playing) may incur such charges as applicable to relevant adult membership.

Section 8 – Permission for the use of photographs and recorded images

Tonbridge Cricket Club recognises the need to ensure the welfare and safety of all Young People in Cricket. As part of this commitment we will not permit photographs, video images or other images of Young People to be taken or used without the consent of the parent/legal guardian and the Young Player. Tonbridge Cricket Club follows the guidance issued in ‘Safe Hands – Welfare of Young People in Cricket’ on the use of images of Young People which is available at Tonbridge Cricket Club will take steps to ensure that these images are used solely for the purpose they are intended, which is the promotion and celebration of cricketing activities.

Tonbridge Cricket Club understands that there are circumstances under which a parent/legal guardian would not wish their child to be photographed. Whilst Tonbridge Cricket Club will do all that it can to ensure the safety of children during photographed events, it is the responsibility of the parent/legal guardianconcerned to ensure that if their child is not to be photographed and partakes in an activity and is by the nature of the activity inadvertently photographed or filmed, Tonbridge Cricket Club cannot be held responsible.

Section 9 - Transport to matches and practice sessions

Tonbridge Cricket Club’s policy is that the parent/legal guardian are responsible for transporting their children to and from all matches and practice sessions and therefore the Club will not be registering Private Vehicles for the transportation of individuals in connection with any fixtures or practice sessions arranged by the Club. The implementation of this policy is not intended to exclude any player from participation and parents/legal guardian should contact the Club Welfare Officer if they have any problems with the transportation of players to matches or practice sessions.

Section 10 - Club Changing Policy

For players under the age of 18 playing in adult teams the following policy applies:

  • Young players uncomfortable with changing or showering with adults are under no obligation to do so and are advised to change and shower at home
  • Parental consent must be given if Young Players are to share changing facilities with adults
  • If Young Players are sharing changing facilities with adults, parents have the option to supervise them whilst they are changing. The Club will make reasonable efforts to arrange this

Section 11 – Data Protection

The Club will use the information provided on this Membership Form (together with other information it obtains about the player) to administer his/her cricketing activity 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 CountyBoards, 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.

As the person completing this form, you must ensure that each person whose information you include in this form knows what will happen to their information and how it may be disclosed.

Section 12 – Consent

By returning this completed Membership Form: -

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

I agree to my child in my care taking part in the activities of TonbridgeCricket Club(this consent

only relates toJUNIOR cricket. Please see the open age cricket policy for more information on juniors

playing in openage group cricket)

I understand that I will be kept informed of activities at Tonbridge Cricket Club for example times

and transport details etc

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 medicalpractitioner may be necessary. I also understand that in such an occurrence that all

reasonable steps will be taken to contact me or the alternative adult whom I have named in section 6

of this form

I confirm that I understand and accept the Club’s policies on code of conduct for members & guests, rules for young people, changing/showering, transportation, photography, videoing, managing children away from the club, missing children, children playing in adult matches, anti bullying and the code of conduct and E-Safety guidelines

I understand and agree to the responsibilities which I and my child have in connection with these

policies

I confirm that to the best of my knowledge, my child does not suffer from any medical condition other

than those detailed in Section 5

I consent to my child’s name being published with any photograph in authorised Club/Event

publications or Press articles

Signed:
(Parent/Legal Guardian)
Print:
(Parent/Legal Guardian)
Date: