Player Registration Form 2011-12

In previous years all players have had to complete a blue form by hand. This year is our fourth year of an on-line version to make it quicker for you to complete all the details. Every player must complete this form.

**********************
If you are a new player, and haven't completed the New Player Form, click here and then please wait to hear back from the club officials before filling in this form.

This form is not for the junior club. Plese see their website for rego details.
**********************

In completing this form, you hereby -

(a) apply for registration with the Sydney Cricket Association to represent Gordon District Cricket Club (the "Club") in the Grade, Shires or Women's competition;

(b) declare that you have obtained permission from the Sydney Cricket Association to represent Gordon District Cricket Club, if you have represented any other Grade or Shires club previously this season;

(c) undertake and agree that you will not hold Gordon District Cricket Club or the Sydney Cricket Association responsible for any injury or accident you may suffer as a result of taking part in a match, or attending practice activities conducted by the club and that you will not make any claim or take any action against the club or the Sydney Cricket Association to recover any loss or expense incurred by you as a result of any such injury or accident;

(d) acknowledge that you understand and accept the Sydney Cricket Association Code of Conduct and agree to abide by it;

(e) declare that you are under no outstanding financial obligation to any previous club, and are not currently listed with the NSW Cricket Association as a defaulter to any affiliate of the NSWCA; and

(f) declare that you have advised the club officials if you are not an Australian citizen.

Privacy Policy: Your registration information WILL NOT be provided to any third party for any purpose. This information is for the purpose of processing your participation insurance, maintaining participant records for the purposes of resource allocation, facility development and providing you with information on fixtures, competitions and special offers.

If you wish to access or correct your information at any time, please contact privacy@cricketnsw.com.au

* Required

Personal Details
First Name *
Last Name *
Date of Birth *

 

Address
Address *
Suburb *
Postcode *
State *

 

Contact Details
Home Phone Number *
Mobile Phone Number *
Work Phone Number
Email Address *
Alternate Email Address

 

Additional Information
Are you of Aboriginal or Torres Strait Islander descent? *	-- Please select -- Yes No
Are you from a non-English speaking background? *	-- Please select -- Yes No
Club *
Season *
Please check this box to confirm your compliance with (a) - (f) above *
Electronic Signature (Please type your name) *

 

Enter Word Verification in box below *