Membership Registration Form

To register as a Wistow Cricket Club player please complete the following form.

Postal Address

Emergency Contact Details

Medical Conditions

Are there any medical conditions that as a club we need to know about?YesNo

If yes to the above question please provide details including nature of the condition, any medication taken, and any required treatment.

Playing Grade

Please select a playing grade. Please note that for junior grades it is based on the player's age as at 1st September e.g. a player aged 10 on the 1st September is eligible to register for the Under 10's.

Do you consent for images of the above named player to be used for the purposes of promoting the Wistow Cricket Club.?YesNo