St Albans Cricket Club - 2018/19 Registration
 

  • This form is dynamically generated based upon the membership/registration options you select. Please follow the steps [1-4] in order and enter all visible fields as required.
  • By submitting this form you are agreeing to the terms and conditions of membership and will be considered the same as physically signing a registration form.

  • [1] MEMBERSHIP CATEGORY:




    ?only applicable for those playing in President's grade



    ?this is a non-playing members only category

    [2] AVAILABILITY:



    [3] PERSONAL DETAILS:

    First Name(s):

    Surname:

    Street Address:

    Suburb:

    City/Town:

    Postcode:

    (lookup code)

    Home Phone:

    Mobile:

    E-mail Address:

    Gender:

    Date of Birth:

      

    Allergies/Conditions:

    School Name:

    School Year:

    Parents' Name(s):

    Parent Availability:

    Please indicate if you are able to assist in the
    following areas (a number of these roles require
    very little time or cricket knowledge and training
    is available):





    Name of Institution:

    Student ID Number:

    Additional Notes:

    [4] REGISTRATION OPTIONS:

    Subscription owing:
    To pay your subscription via online banking use account: 03-0802-0091696-00 (include your Name as the reference so we can identify you).

    [5] YOUR CREDIT CARD DETAILS:

    Card type:

    Name on card:

    Card number:

    ---

    Card expiry:



    Please note: by clicking submit, your details will be included in the New Zealand Cricket national participant database. Access to personal data is firmly restricted to specific club, association & national administrators. Please email us if you have any concerns or wish to know more.