Adult Membership

Winscombe CC Adult Membership 2008 Price: £30.00 This fee covers membership of the Cricket Section only and includes all outdoor training. A separate match fee is payable for participation in matches. Winter Training sessions at indoor venues are also subject to an additional charge.

Please help us to meet our data collection obligations by completing the short form below. You should complete one form per person applying for membership. All questions relate to the applicant unless otherwise indicated

The England and Wales Cricket Board (ECB) and affiliated cricketing organisations, including this Cricket Club, aim to promote equality of opportunity for all persons and welcome participation from a wide range of individuals, including those with prior criminal records. The membership/voluntary position for which you have applied is an exempted occupation for the purposes of the Rehabilitation of Offenders Act 1974 (as amended by the Rehabilitation of Offenders Act 1975). All ‘spent’ and ‘unspent’ convictions must be declared. Having an ‘unspent’ conviction will not necessarily impede your involvement with Cricket: this will depend on the circumstances and background to your offence. If you fail to disclose an offence and the ECB or any affiliated organisation is later informed of any undisclosed criminal matter, you may be subject to disciplinary action. Evaluation of information is based on strict confidentiality and discretion.

If the answer to any question is 'No' or 'None', please enter 'No' or 'None'. If the answer to any question is 'Yes', please provide brief details.

Required fields are indicated in RED.

Q1  12345678910111213141516171819202122232425262728293031JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008

Date of Birth

First Name Surname Gender Personal mobile number (if you have one - leave blank if not) Personal email address (if you have one - leave blank if not) Ethnic origin (for monitoring purposes only) Please list any previous clubs that you have played for, worked for or volunteered for Have you ever been convicted of any criminal offences or accepted any reprimands, cautions or Police warnings? Are you a person known to any Social Services department as being an actual or potential risk to Children or Young People? Have you ever had a disciplinary sanction (from any sports or other organisation’s governing body) relating to child abuse? Please enter your initials and the date to indicate that you have read and agreed the relevant Codes of Conduct and Terms & Conditions of Membership Please 'sign' the application by typing your full name and the date

When you have completed all of the required fields, above, please click 'Add to Basket' to complete the application. You will be taken to your basket for a few seconds as your application is registered before being returned to this page. You can then add further products or Checkout, as required.