SENIOR REGISTRATION FORM 2016/17
*Please Print Clearly*
PLAYER DETAILS
Surname: ___________________________________
First Name: _________________________________
Date Of Birth: ________________________________
Gender: Male
Female
Address: ___________________________________________________________________________________
Contact Number: Mobile ______________________
Home________________________________
Email Address: ______________________________________________________________________________
Emergency Contact Details
Name: _________
Mobile ___________
___________
Email Address: ______________________________________________________________________________
INFORMATION
Club Last Played: _________________________________________________________________________________
Grade Last Played: ________________
Season Last Played: _______________
Preferred Grade to Play: ___________
Highest Grade Willing to Play: _________
Available to Play:
Saturday
Sunday
How did you find out about Colyton St Clair Colts Cricket Club?
Website/Facebook
Friend/Parent
Other ___________________________________
MyCricket
Previous Player
Conditions of Registration
Consent Agreement
I agree to play cricket with Colyton St Clair Colts Cricket Club. I acknowledge that the information is true and
correct and I acknowledge in accordance with the club’s constitution, membership extends to me. As a
member I agree to be bound by the rules of the club and the Association competition that I play in. I note that
the club will undertake to exercise all reasonable care in the conduct of its activities but declines to accept
responsibility for accidents occurring as a consequence of my participation in such activities. I agree to the
CSCCCC using photographs taken of me during matches and team functions for use on the Club’s Internet site,
and note that the Club will exercise all reasonable care in the conduct of these activities.
Incorporated in the Registration Fee is an amount for insurance to cover against personal accident - this is
arranged by Cricket Australia. Also included is an amount for Third Party Public Risk cover.
All players’ fees must be paid by ROUND 1 each season. In case of hardship, please contact a member of the
Management Committee. No player will be denied a place in a team because of hardship.
Players Code of Behaviour
Play by the rules at all times. Never argue with an official. If you disagree, have your captain, coach or manager
approach the official during a break or after the game to seek clarification. Control your temper. Verbal abuse
of officials or other players, deliberately distracting or provoking an opponent (sledging) is not acceptable
behaviour in cricket or any other sport. Treat all players with respect and as you would like to be treated
yourself. Cooperate with your coach, team mates and opponents. Without them there would be no
competition. Always shake hands at the end of the game.
I have read and understand the conditions of registration to the Colyton St Clair Colts Cricket Club and I am
happy to follow them.
Player Name: ________________________________ Signature: ___________________________
Direct Deposit Bank Account Details
Fees
BSB Number: 062410
Fulltime: $240 Early Bird / $290 After Rd 1
Account Number: 10458637
Part Time Player ( Max 7 games): $165 Early Bird / $215
After Rd 1
Account Name: Colyton St Clair Colts Cricket Club
Student / Pensioner: $180 Early Bird / $230 After Rd 1
Please leave players name as ref when paying by Direct Debit *Players receive 1x ticket to presentation, a shirt & cap
CLUB USE ONLY:
Registration: Date Paid
Player Shirt Required:
/
Size:
/
Amount $
Qty:
Cash/Cheques
Receipt No
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