Home
News
About the club
Meet the teams
Contact us
Photo gallery

Join the club

Please see our new website alburycc.co.uk or contact emily.alburycricket.co.uk

Application form

Fields marked with * are required.

Member details

Forename *

Surname *

Date of birth *

Gender *

Email address *

Phone number

Address

Postcode

Guardian details

Forename *

Surname *

Relation

Email Address

Phone Number *

Address *

Postcode

Medical record

Please complete the following medical information which will be used by club officials in the event of an emergency.

Has asthma *

YesNo

Has diabetes *

YesNo

Has epilepsy *

YesNo

Epilepsy details

Has allergy *

YesNo

Allergy details

Has heart condition *

YesNo

Heart condition details

Has medication *

YesNo

Medication details

Has injury *

YesNo

Injury details

Has visual impairment *

YesNo

Visual impairment details

Has hearing impairment *

YesNo

Hearing impairment details

Has physical disability *

YesNo

Physical disability details

Has learning disability *

YesNo

Learning disability details

Has other *

YesNo

Other details

Enquiry details

Sport

Interested in

Please provide details of any previous experience that may be relevant and any other information requested above.

* I understand that by submitting this data I am giving consent for my data to be held by the club. For more details on how they will use my data click here

Please confirm you're human.

To contact your Data Controller, click here

If you wish to withdraw consent from us holding your personal data please email emily.alburycricket@gmail.com requesting your data be removed from the site. However, this will only be possible if you cease your membership.

In addition, if you wish to exercise your right to be forgotten please click here

Details of Data Controller are

Name: Emily Bourke

Email: emily.alburycricket@gmail.com