Adult Membership

Name:

Address

Post Code:

Date of Birth

Gender:

Home telephone number:

Mobile telephone number:

Email Address

Do you have any medical conditions that the Club Officials should be aware of? Eg Asthma, Allergies, Diabetes, Epilepsy, etc

Yes

If Yes, what are they?

Name of an adult who can be contacted in an emergency:

Phone number of named adult:

I confirm that I have read the Club’s Code of Conduct and will adhere to it

Yes

I confirm that I have read and understood the Club’s Privacy Notice

Yes

I consent to the Club publishing photographs or articles on the Club website which may include or reference me

Your option here

I confirm I have read or have been made aware of the Club’s policies concerning Safeguarding Children, Anti-Bullying, Online Safety and Social Media, and I understand and agree to the responsibilities which I have regarding these policies. I consent to the Club photographing or videoing my involvement in cricket in line with the ECB Photography Filming and Social Media Broadcasting Guidelines

Yes

I confirm that I have read or have been made aware of the ECB’s latest Covid-19 guidance and will adhere to it

Yes

I hereby agree to indemnify Middelton & North Dalton Cricket Club, its officers, coaches, managers and volunteers, from any liability for loss or damage to personal property, or accident or injury to me which occurs whilst I am receiving coaching, playing cricket matches or participating in any club event or activity

Your option here

Data Privacy Notice

Middleton & North Dalton Cricket Club take the privacy of our members data seriously and will only use your personal information for club administration purposes and for communicating with you about your membership and involvement in Club activities.

For example:

- To administrate your membership

- For Player Registration to Cricket Leagues (where applicable)

- For Player availability and match selection (where applicable)

- To inform you of club events & activities

(e.g. Presentation Evenings, Net Sessions (if applicable) etc).

Only nominated committee members/adult members of the club namely the Chairman, Secretary, Treasurer, Coaches (where appropriate), Senior Team Captains (where appropriate) and the Club’s League Administrators (where appropriate) will be able to access your details.

Your data will not be shared with any third party and the principles of the General Data Protection Regulation will be adhered to.

I hereby give consent that my Personal Data may be held and used for the purposes it has been designated

Your option here

All members receive a short-sleeved playing shirt as part of your 2023 Membership. Please fill in the details below to order your shirt.

Shirt size

Personalisation (Optional)

WELCOME TO

MIDDLETON & NORTH DALTON CC!

Adult Membership