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Gordon District Cricket Club - Chatswood in2Cricket Centre

Registration Form

As per the instructions above and those you find below, please fill in the fields below and then submit the form.

Player's Details
*Player's Given Name
*Player's Last Name
*Date of Birth (dd/mm/yyyy)
*Gender
Male    
Female    
*Do you have any illness / allergy / disability?
Yes    
No    
Please provide details of these
If you wish, please indicate one player you would like to be playing with in a 'team'.

Address
*Address (Line 1)
Address (Line 2)
*Suburb
*Postcode
*State
Contact Details
*Father's Name
*Mother's Name
*Home Phone Number
*Mobile Number
Alternate Number
*Email Address
Secondary Email Address
Age at 31 August 2010
*Years :
*Months :
School
*School Before Christmas
*School After Christmas
in2Cricket
*Did you play in2Cricket last year?
Yes    
No    
At which centre did you play last season?
Where did you hear about in2Cricket?
Cricket Development Officer    
Friend    
Newspaper advert    
Parent    
Poster/Flyer    
School Newsletter    
TV advert    
Other    
Please provide details
*Have you played at Chatswood in2Cricket before?
Yes    
No    
How will you provide a copy of the birth certificate
Attach below    
Email    
Post    
Attach a copy of the player's birth certificate To select a file click Browse
Clothing
*Do you require new Gordon in2Cricket clothing? (Note: You must have the Gordon shirt & shorts)
Yes    
No    
Please indicate the size required
Size 04 - Chest 60cm    
Size 06 - Chest 65cm    
Size 08 - Chest 70cm    
Size 10 - Chest 75cm    
Size 12 - Chest 80cm    

Parental Assistance

in2Cricket only succeeds because parents/guardians are interested and get involved.  Please make yourself available to help in one of the roles listed below.  Don’t be too concerned if you lack prior cricket experience. There will be introductory sessions held during September and October both by the Chatswood in2Cricket Centre and Cricket NSW to skill our volunteers. Do make sure you tick one or more boxes.  The more persons involved the easier the running of the in2Cricket Centre becomes.
Please indicate areas you are willing to assist
Coach    
Assistant Coach    
Team Manager    
Assistant Team Manager    
Clothing Manager    
Equipment Manager    
Computer Consultant    
Photographer    
Publicity    
Sponsorship/Marketing    
Social Secretary    
Other tasks/skills    
I intend to attend an 'Orientation to Coaching Course' (Dates to be provided soon).
I intend to attend a 'Level 1 Development Coaching Course' (Dates to be provided soon).
Subscription Fees
*Subscription Fees Due
*Payment Method
Type of Card (Amex not accepted)
Mastercard    
Visa    
Credit Card Number
Expiry Date /
Name on Credit Card

Parent/Guardian Consent

I consent to my son/daughter learning cricket with the in2Cricket Centre Chatswood, an activity of Cricket Australia / Cricket New South Wales.
*Electronic Signature
*Date
 pick a date
     


Should you have any further questions please click here to email us.

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