CANNING VALE JUNIOR CRICKET CLUB Inc

President: Luke Freeman Club Use Only:

Registrar: Trevor Harris Age Group:Mail: PO Box 1128, Canning Vale DC WA 6970Website: http://cvjcc.wa.cricket.com.au Team Colour:Club Email: canningvalejcc@gmail.comRegistrar Email: cvjccregistrar@gmail.comUniform Email: cvjccuniforms@gmail.comMobile: 0409 421 625

1. PLAYERS DETAILS

First Name: Surname:

Date of Birth: Age as at 30/06/18: Years Months

Gender: Birth Certificate Sighted by CVJCC Rep:

Year at School: School:

Have you played cricket before? If Yes, which team were you in?

2. PARENT DETAILS

Relationship to Player:

First Name: Surname:

Address:

City/Shire:

Home No: Mobile No:

Email Address:

I can assist the Club with:

3. EMERGENCY CONTACT (OTHER THAN PARENT/GUARDIAN)

First Name: Surname:

Relationship: Contact No:

4. AUTHORISATION TO USE PHOTOGRAPHS

During the season players' photographs may be used in our official publications or on our website.Photographs will be taken at training, game day and official club functions. By completing & signing this registration form, you give permission unless otherwise indicated.

Allow use of Photographs: Parent/Guardian Initials:

PLAYER REGISTRATION FORM (SEASON 2018/2019)Please complete form in FULL

Coaching SponsorshipCommitteeTeam Manager Scoring

Yes No Male Female

Mother Father Guardian Other (please state)

City of Canning City of Gosnells Other (please state)

Yes No

Yes No

City of Armadale

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Please ensure any medication required is brought with the player to ALL training and game days.

First Name: Surname:

Medicare No: Ambulance Cover?

Private Healthcare Fund: Member No:

Do you or have you suffered from:

Asthma

Allergies

If Yes, please state:

Description:

Is there any other medical conditions the Club should be made aware of?

Description:

6. REGISTRATION FEESFull payment is due with registration.

* Sat GamesPlease circle year level: t Sun Games Amount

U10 t U11 * U12 t U13 Girls * $160.00

U13 * U14 * U15 t U17 t $180.00

7. PLAYERS UNIFORMS

Do you require a NEW players shirt? If YES, please select from size chart below:

Cost Amount

$40.00

$40.00

Please note all players MUST wear a wide brimmed hat whilst on field. CVJCC policy states NO hat NO play.

Do you require a NEW wide brimmed hat?

Date: / / Receipt No: Club Official:

8. PAYMENT :

9. OTHER COMMENTS/NOTES

5. PLAYERS MEDICAL INFORMATION (CONFIDENTIAL)

Size 6 Size 10 Size 12 Size 14Size 8 Size 16

Size S Size M Size L Size XL Size XXL

Yes No

Size 57cm

No

Cash Cheque

Entered in MyCricket

Payment Received

Yes No

Yes Medication Required

Yes No

No

Yes No

Severe

EpiPen Required

Entered in Accounts

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EFT

Account Name: Canning Vale Junior Cricket ClubBSB: 306-085Account: 0445878Reference: Child's Full Name

Cost

Yes, free with registration

If YES, please select from size chart below:

Club Use:

Shirt

Hat

Uniform Supplied:

.....................................

B/O: Shirt Hat

TOTAL DUE/PAYABLE:

Size 59cmSize 55cm Size 61cm

Mild Moderate

Medication Required

Players Code of Behaviour

/ /Signature (Parent/Guardian) Signature (Club Official/Witness)

Play by the rules:* Never argue with an umpire. If you disagree, have your captain, coach or manager approach the umpire in

an appropriate manner during a break of after the game;* Control your temper. Verbal abuse of officials and sledging other players, deliberately distracting or

provoking an opponent are NOT acceptable or permitted behaviours in cricket;

* Bullying or intimidation of team mates or opposition players is NOT acceptable behaviour in cricket;* Swearing is NOT acceptable behaviour in cricket;* Work equally hard for yourself and your teammates. Your team’s performance will benefit and so will you;* Be a good sport. Applaud all good plays whether they are made by your team or the opposition;* Treat all participants in cricket as you like to be treated. Do not bully or take unfair advantage of another

competitor;* Co-operate with your coach, teammates and opponents. Without them there would be no competition;* Participate for your own enjoyment and benefit, not just to please your parents, teachers or coaches;* Respect the rights, dignity and worth of every person regardless of their gender, ability, cultural

background or religion.

Date

I ___________________________________, do hereby acknowledge that of my own freewill and desire, I have read the Parents/Spectators Code of Behaviour and read the Players Code of Behaviour to my child and agree to abide by the principles in these Codes of Behaviour.

Parents/Spectators Code of Behaviour * Do not force an unwilling child to participate in cricket;

* Remember, children are involved in cricket for their enjoyment, not yours;

* Encourage your child to play by the rules* Focus on the child’s efforts and performance rather than winning or losing;

* Never ridicule or yell at a child for making a mistake or losing a game;* Remember that children learn best by example. Appreciate good performances and skillful play by all

participants;* Support all efforts to remove verbal and physical abuse from sporting activities;* Respect officials’ decisions. Teach children to do likewise;

* Show appreciation for volunteer coaches, officials and administrators. Without them, your child could notparticipate;

* Respect the rights, dignity and worth of every person regardless of their gender, ability, cultural

background or religion;* A parent/Guardian is to remain at training sessions and matches for their duration.

10. DECLARATIONI understand that it is policy of the Canning Vale Junior Cricket Club (CVJCC) for all players to wear safety gearwhen batting (including helmet with grill U10's & above), wicket keeping and fielding in dangerous positions, andplay in a safe and fair manner. In allowing my child to play cricket, I support this policy and will instruct him/herto play safely and fairly. I understand that the CVJCC will take all care possible, however I also understand that allplayers participate and train at their own risk.

I (parent/guardian) ______________________________________ hereby authorise CVJCC Representatives to obtain such medical attention or an ambulance as may be deemed necessary for(players firstname) _______________________________ (surname) ____________________________________ and I understand that I am responsible for all costs incurred. I furthermore authorise a qualified medical practitioner to administer treatment and understand I am responsible for all cost incurred.Parent/Guardian Signature: Date:

11. CODES OF BEHAVIOUR

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