Junior Membership Form

If you have completed your membership form but not yet made your payment then please head to the membership page

2023 Junior Membership of Cheadle Hulme Cricket Club

Cheadle Hulme Cricket Club, Manchester Rugby Football Club and Grove Park Squash incorporated in 2022 and is now known as Grove Park Sports Ltd. From this season onwards all junior members must have a connected Adult member of Grove Park Sports Ltd. Due to this our membership structure has changed to incorporate an adult subscription to Grove Park Sports Ltd. All adult members will become £1 shareholders of Grove Park Sports Ltd.

1) Junior (plus adult) membership for 2023: Annual – £120 (or monthly £41 per month for 3 months)

2) Additional child(ren): Annual – £90 per child (or monthly £31 per month for 3 months)

3) Child(ren) of senior playing members: Annual – £90 per child (or monthly £31 per month for 3 months)

4) Child(ren) of other sports section adult members: Annual – £90 per child (or monthly £31 per month for 3 months)

Please fill out the membership form below, once submitted you will be redirected to select your membership level, payment frequency and to create an account on our website to complete your payment.

This form is designed to be completed by a parent/carer of a junior playing cricket at Cheadle Hulme Cricket Club. Please complete a separate form for each child playing at the club.

Page 1 of 10

Section 1 - Personal Details of the Player

Name of child*

Date of Birth*

Address*

Post Code*

School Year*

Team type*

Section 2 - Personal Details of Parent/Carer of Young Player

Name of parent/carer*

Email address*

Address*

Post Code*

Home telephone number for parent/carer*

Mobile telephone number for parent/carer*

Would you like a discount card for alcoholic drinks at the Grove Park club?*

Yes

Already have a card

Current card is lost/broken

Number on the back of your current bar card*

Section 3 - Emergency Contact Details

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

Name of an alternative adult who can be contacted in an emergency*

Phone number of alternative named adult*

Relationship which this person has to the child *

Section 4 - Sporting Experience Information

Has your child played cricket before?*

Other

Section 5 - Disability

We will use this information for statistical purposes as well as to establish if there are any additional needs / support / adjustments that you may require, please discuss this with us.

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’.

Does your child have any physical or mental health conditions or illnesses that have lasted or are expected to last 12 months or more? *

Does this disability or illness affect your child in any of the following areas?

Visual impairment

Hearing impairment

Additional learning needs

Social communication difficulty / ASD

Speech and Language difficulties

Motor difficulties (ie Developmental Co-ordination Disorder / Dyspraxia)

Attention / Concentration difficulties (ADHD)

Social / emotional / mental health difficulties

Has other type of medical issue, please provide more details

Details

Section 6 - Medical Information

Please detail below any important medical information that our coaches/junior co-ordinator/club volunteers need to know and which would be affected by your child's participation in cricket activities. Such as: allergies; medical conditions (for example- epilepsy, asthma, and so on); current medication; special dietary requirements, any additional needs, and/or any injuries. Please indicate if you would like to discuss this privately with us.

Do your child have any important medical information?*

Details

Name of doctor/surgery name*

Doctor's telephone number*

Medical Consent*

I consent to my child's medical details to be shared with coaches/leaders for the purposes of the delivery of my safe participation in the cricket club activity. Not providing consent will not affect your child's membership to the Club, however giving us consent to share this information will help club volunteers to know how to respond effectively in the case of any medical emergency.

Yes

Section 7 - Parent/Carer Participation Agreement

I agree to the child named above taking part in the activities of the club*

I confirm I have read, or have been made aware of, the clubs policies concerning*

- Safeguarding Policy Statement
- Code of conduct-Juniors
- Code of conduct - Members
- Anti-bullying Policy
- Inclusion and Diversity Policy
- Social media policy
- Photography Policy
- Transporting Children Policy
- Junior Showering and Changing Guidelines
- Juniors in open age matches

I understand and agree to the responsibilities which I and my child have regarding these policies*

Section 8 - Club Photography / Video Consent

I consent to the club photographing or videoing the child named above 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. Not giving consent will not affect your membership of the club.

Section 9 - Privacy Statement

Cheadle Hulme Cricket Club take the protection of the data that we hold about you as a member seriously and will ensure that the data you provide is processed in accordance with data protection legislation.

Please read the full privacy policy carefully to see how the Club will treat the personal information that you provide to us. - Privacy notice

Parent/Carer Agreement*

By returning this completed form, I confirm that I have legal responsibility of the child named above and that I have read and understood the permission statements on this membership form and the privacy policy.

Submit Your Information

Thank you for completing the membership form, please click send and you will be redirected to create an account or login into our website to enable you to make your membership payment

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