Competing in the
Eastern Cricket
Association
Cnr Ramsden St.
& Field St.
Clifton Hill 3068
P.O Box 11
Clifton Hill 3068
Phone:
94812979
CLIFTON HILL CRICKET CLUB Inc
www.cliftonhillcricketclub.com
A.B.N. 17215879481
Registration Form for Juniors (one form per player)
Return completed forms to Grant Belchamber ([email protected]) or one of the contacts
listed.
Clifton Hill Cricket Club Registration Form Season 2008/09
Team Age Group
Name
DoB
/
/
Address
Phone (Home)
Parents Names
Contact No.
Player’s Mobile
First
Second
Other
Email Address
Medical /Other
Payment for Subscriptions
Payment Type*:……………………….…
Contacts:
Paul Connors
President
0408 107 642
paulconnors2@
ozemail.com.au
Scott Mills
Vice –President
0414 909 318
[email protected]
Brad Sanders
Secretary
0401 606 923
brad_homer@
hotmail.com
Anton Blencowe
Treasurer
0434 881 684
a.blencowe@
hotmail.com
Player’s Name: …………………………………………...…
Payment AmountΨ:
$
*Payment is accepted as cash, cheque or direct debt (preferred method). If paying by cash or cheque please
pass them direct to the treasurer – do not post cash payments to the club. Cheques should be made
payable to Clifton Hill Cricket Club Inc. If paying via direct debt please transfer to the account listed below
and state your childs first initial and surname (e.g. J SMITH) in the payment description; Account Name:
Clifton Hill Cricket Club Inc., Bank: Commonwealth Bank, Bank BSB: 063130, Account #: 10048451. A
receipt of payment will be sent to you electronically via email, unless otherwise requested. Payment
installments: If you would like to arrange to pay in installments please contact the treasurer to make the
appropriate arrangements.
ΨPayment amount: U16 and U14 players - $95; U12 and U10 players - $75; 2nd child from same family - $45
Permission Slips
The club actively promotes the under 16 players participation in the senior teams based on skill levels and
availability of senior players. This cross over is an excellent way of involving the juniors in the club as well
as gaining skill advice from the senior players. The ECA also encourages the higher age junior players to
take part in the senior teams but requires parental permission to allow them to play. Should your child wish
to take part in the senior teams please complete the following permission form.
Permission To Play Seniors Form
I ---------------------------------------------------------- hereby give permission for my son ------------------------------------------------------ to play in the senior team of Clifton Hill Cricket Clubs if selected.
……………………………….
Signature of Parent/Guardian
Name
Address