Senior Registration Form

This form is for seniors (Over 18's) if you are playing adult cricket but are Under 18 then please fill out the Junior U18 form here

Details changed? *

Have you moved house since the end of last season?

Name *

First

Last

Phone *

Date of Birth *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Medical/Disability Information:

Please enter any medical or disabilities we need to know about. If none then leave the box empty.

Next of Kin Name *

First

Last

Next of Kin Phone *

Best Evening for Training. *

Playing Roles *

Prefered Batting Position

Bowling Type *

Seam *

Spin *

Safeguarding *

Please tick to say you have read and that you agree to our safeguarding policies.

Payment

We prefer you to pay directly into our bank via the details below:

Amount: £65

Acc: 54244501
Sort: 54-41-54
Name: Rustington Cricket Club

Please enter your surname + the word subs as the reference.

Rustington Cricket Club Registration