Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Family Dog Walking Family membership for a household to access the ground for dog walking. NOTE - All dog walkers will be automatically signed up to the dog walking WhatsApp group as a condition of membership	£100.00
	Senior Dog Walking Individual membership for one person to access the ground for dog walking. NOTE - All dog walkers will be automatically signed up to the dog walking WhatsApp group as a condition of membership	£80.00
	Vice President Former Senior Leamington CC cricketers looking to remain involved with the club	£50.00
	Minis U6 and U7 Only available to people between the ages of 5 and 6 inclusive.	£0.00
	Junior U8 to U17 Only available to people between the ages of 7 and 17 inclusive.	£0.00
	Senior - (2 Coaching Sessions Required) This is for Senior Members that are volunteering to help with 2 sessions of coaching on Friday Nights Only available to people aged 18 or over.	£160.00
	Senior - (No Coaching Sessions Required) This is for Senior Members that are not planning to volunteer to support with coaching efforts Only available to people aged 18 or over.	£200.00
	Senior Ladies Only available to Female only aged 17 or over.	£85.00
	Student For people in full time education Only available to people aged 17 or over.	£100.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://leamingtoncc.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://leamingtoncc.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Leamington Cricket Club, Arlington Avenue, Leamington Spa, CV32 5UG

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

Description

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