Scots College – SCCC Registration Form 2012

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SCCC Registration Form 2012

Confidentiality

The information in this form is treated as confidential and may be used for administrative purposes by the club and to provide statistics to Cricket Wellington and New Zealand Cricket Inc.

Personal Undertaking

In completing and submitting this form, I agree that I will:

abide by rules of the College, the Wellington Cricket Association secondary schools competition and the Scots College Cricket Clubs ‘Cricket Code of Conduct’,
attend my team’s practices and matches at times and places advised or, if unable to do so, inform my team manager or coach in advance, and
show courtesy at all times to managers, coaches, umpires and fellow players.

All fields marked with an asterisk (*) are required

Player Information

Last Name: *

First Name: *

Middle Name:

email address: *

Your email address will be used to contact you about your registration.

Date of Birth: *

Age: *

Street Address (please include postcode): *

Home Phone: *

Player's Mobile Number: *

Team choice

Select the team you wish to join: *

Fees

Subscription: *

Form of payment: *

note: cash must not be sent via mail

SCCC Special Membership Initiative: *

Yes

Scots players are eligible for a subsidised membership to use the HSC Facility (After School Hours) - bowling machine or lane ($100 for 10 x 1-hour sessions; normally $370). Details will be finalised in the new year. Please tick above your interest in this option.

Scots College – Learning. For Life.

SCCC Registration Form 2012

Confidentiality

Personal Undertaking

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