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OFFICER CRICKET CLUBJUNIOR REGISTRATION 2018-2019

This registration form is to be completed by a parent or legal guardian of the player on behalf of each player and returned to the club together with the appropriate registration fee. Fees are due and payable upon registration. A copy of the player’s Birth Certificate is required if the junior has

not provided one to the club previously.

TO SECURE YOUR PLACE RETURN BY: 22nd or 24th of August at Officer Rec Reserve between 5-7.30 or complete your details on line.

This information is used for registration of the player along with contact details for the club so please ensure it is filled out clearly and completely.

If you have any queries regarding registration please contact Kieren James on 0419 821 241 or Leeanne Hayes 0414 50 971

PLAYER DETAILS

First Name: ____________________ Surname _________________________

Date of Birth: _____ /_______ /_____ Current age ___________________

Team Required (Please Circle) Budding Bullants Under 10’s Under 12’s Under 14’s Under 16’s Girls

PARENT/GUARDIAN DETAILS

First Name: ____________________ Surname __________________________

Address __________________________________________________________

Suburb _______________________ Postcode ____________________

Email ______________ ____________________ Mobile ____________________

EMERGENCY CONTACT In the event we are unable to contact the parent/guardian we will endeavor to contact this person.

First Name: ____________________ Surname __________________________

Relationship to Player ____________________________________________________

Address __________________________________________________________

Suburb _______________________ Postcode ____________________

Home Telephone_____________________ Mobile ______________________

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PLAYER MEDICAL DETAILS

Doctors Name: ______________________ Surname _________________________

Address _______________________________________________________________

Suburb _______________________ Postcode _________________________

Home Telephone_____________________ Mobile ___________________________

Private Health Insurance Yes / No

If “YES” Name and Number ___________________________________________________

Allergies (please give details)

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Other Medical Issues or Medications Required

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________

TRANSFERRING FROM ANOTHER CLUB

If you have been registered to play with another club we will be required to obtain a clearance from that club.

NAME OF PREVIOUS CLUB: ____________________ YEAR LAST PLAYED: _______________

HOW DID YOU HEAR ABOUT OUR REGISTRATION DAYS

☐ Email ☐ Website ☐ Banner on oval

☐ News Paper advert ☐ Facebook ☐ Word of Mouth

☐ Other

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GENERAL INFORMATION

If there is anything you think the club should be aware of please indicate in the space allowed. You should include in this space if the player has a preference for a particular team or wishes to play with a particular player.

Please note all endeavors will be made to meet such requests but this cannot be guaranteed.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DECLARATION

I hereby give my consent for the above-mentioned player to train for and play Australian Cricket with the Officer Cricket Club. I also agree to abide by the Clubs Code of Conduct and other policies/codes as applicable.

I understand and on behalf of the registered player, accept the risks associated with playing and training for Australian Cricket. I agree to indemnify the club and/or its servants, officer, players and members should any claim/s be lodged or issued against the club and/r its servants, officers, players or members now or in the future. By participating in a game or training session I agree, on behalf of the player, to be deemed to have accepted voluntarily all and any risks associated with playing sport on the playing surface and its adjacent areas and its associated equipment. By signing this document, I agree on behalf of the player to the terms and conditions outlined above.

I also consent to the provision of medical treatment to the registered player and the transfer of the registered player to a medical facility where deemed necessary by a sports trainer and/or club official of the club, if all reasonable efforts to contact me or other contact person/s as nominated on the registration forma have been unsuccessful.

PRIVACY

The Officer Cricket Club will collect, store and use this personal information and, at all times, observe the confidential nature of the information. In an emergency where, after our best endeavours to obtain your consent or the consent of the emergency contact person (as stated in this document) or where it is not possible or reasonably practical that such consent be obtained we may disclose this information without consent so we may provide medical assistance to the player should an injury be sustained and medical assistance is needed

PHOTOGRAPHY

Please ticket the box if you wish for photographic images or videos of your child not to be posted on the club’s website or other publications produced by the club and/or by other associations? ☐

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I agree to the terms and conditions stated above and hereby attest that the information is true and correct.

NAME ____________________________________________________________

SIGNATURE ____________________________________________________________

DATE ____________________________________________________________

Code of Conduct

I confirm that I have read the Officer Junior Cricket Club Code of Conduct and will ensure that any participants that I have given permission to play under this registration, myself and any of my associates will abide by such code at all times. I also understand that a breach of the code of conduct the matter is referred to the Senior Committee for determination. The code of conduct can be found on our website: officer.vic.cricket.com.au and is also attached to this form.

I agree to be bound by any Codes of Behaviour and policies of Officer Cricket club for the time being in force, including Australian Cricket’s ‘Looking After Our Kids’ Code of Behaviour for Affiliated Associations and Clubs.

NAME ___________________________________________________________

SIGNATURE _____________________________________________________________

DATE _____________________________________________________________

OFFICE USE ONLYREGISTRATION PAID: YES / NO AMOUNT :$ RECEIPT #

BIRTH CERTIFICATE : YES/NO

REGISTERED MY CRICKET NUMBER: SIGNATURE:DATE ENTERED: CONSENT FORM YES / NOTEAM / AGE GROUP :NOTES:

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W.G.C.A.PARENT CONSENT FORM

BL6.7. A junior aged player must have written parental permission to play in any junior grade, orin any senior grade, higher than they are eligible for under their registration. This permission mustbe in the hands of the Record Secretary PRIOR to the commencement of play. Failure to complywill result in the loss of match points for senior grades. PENALTY: $10 fine + LOSS of all matchpoints and 1st innings match points to be awarded to the opposing side. (see also BL 1.5)

THIS FORM MUST BE FILLED OUT, SIGNED AND A COPY FORWARDED BY FAX OR EMAILTO THE WGCA RECORDS SECRETARY BEFORE THE COMMENCEMENT OF THE MATCH.THE CLUB MUST ALSO KEEP THE SIGNED FORM ON FILE WHILST THE PLAYER REMAINSAT THE CLUB OR UNTIL THE PLAYER REACHES THE AGE OF 18 YEARS AND BE ABLE TOPRODUCE THIS FORM UPON REQUEST.

I ………………….…...…………..…., being the parent/legal guardian of ……………..……………….…….….whose date of birth is ………./………./…………….……. and is a registered member and player of the…………………………………..….…. Cricket Club, give my permission for my child (as listed on this form)to play cricket in a grade above his/her registered age group.I understand that this permission will allow my child to play in any higher grade unless specified on this form.I also understand that if any injury occurs to my child, as a result of my child playing above his/her registeredage group, neither the club (with whom my child is a registered player) nor the Association; can be held legallyliable for any compensation whatsoever. The club and the Association have insurance to cover public liability,players’ medical and other treatment costs and loss of income and by signing this form does not affect thatcoverage in any way.

Signed …………..……………..…. Date …./…./…. Signed …………..…....…..………. Date …./…./….(PARENT/LEGAL GUARDIAN) (CLUB SECRETARY)

I understand that by signing this section of this form that I give ongoing permission for my child listed above toplay above his/her registered age group (including any restrictions that I have listed above), throughout futureseasons, until I rescind this permission in writing to the club & the Association or until my child reaches the ageof 18 years where he/she no longer requires this permission to play.

Signed …………..……………..…. Date …./…./…. Signed …………..…....…..………. Date …./…./….(PARENT/LEGAL GUARDIAN) (CLUB SECRETARY)

OFFICER JUNIOR CRICKET CLUB CODE OF CONDUCT

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Officer Junior Cricket Club abides by the behaviors that are expected of every person involved in community sport and active recreation as se out by the Victorian Code of Conduct for Community Sport. Implementation of the Code will ensure that community sport remains safe and inclusive for all.

The Code States:

Every person, spectator, player, club member, official, participant, administrator, coach, parent or member of the community involved with the sport, should work to ensure:

Inclusion of every player regardless of their age, gender or sexual orientation Inclusion of every person regardless of their race, culture or religion Opportunities for people of all abilities to participate in the sport and develop to their full

potential Respect is shown towards others, the club and the broader community A safe and inclusive environment for all Elimination of violent and abusive behavior Protection from sexual harassment or intimidation

Further, Officer Junior Cricket Club expects that every participant, official, coach, parent or member of the community should abide by the following codes at all times:

Abide by the rules of the game and rules set down by your coach, club and league and other governing bodies

Never argue with an official or umpire. If you disagree, have your captain, coach or manager approach the official during a break or after the competition. If you disagree with an official or umpire raise the issue through the appropriate channels rather than questioning the officials judgment and honesty in public

Control your temper. Verbal or physical abuse of officials, umpires, spectators or other players, deliberately distracting or provoking an opponent is not acceptable or permitted

Work equally hard for yourself and for the club Be a good sport. Applaud all good players whether they are on our team, opponent or the other

team Treat all participants as you would like to be treated. Do not interfere with, bully or take unfair

advantage of other players or officials Co-operate with your coach, club members and team mates and respect the ability of your

opponents Avoid use of derogatory language based on gender, race or religion Smoking and/or consuming of alcohol is totally forbidden by Juniors whilst involved in any

Junior Cricket Competition

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Recognise the value and importance of volunteer coaches and/or officials. They give their time and resources to provide recreational activities for your child and deserve your support

Support your club officials in maintaining the highest standard of behavior both on and off the field for the betterment of the league and your family. Offer your assistance to the team that your child is playing in so that every opportunity is being provided for the very best supervision and support. Your involvement will give both yourself and your child far more satisfaction

Ensure that equipment and facilities of the club, club members and other league participants is treated with respect and be aware that any damage may incur a cost to be paid by the person/people inflicting the damage

Ensure that a sun smart policy is adhered to at all times, ensuring the adequate drinks, hats and sun screen is brought to all games and/or training

Ensure that all governing rules set out under Officer Cricket Club’s Liquor License and local by-laws in relation to the consumption of alcohol at Junior sporting events are followed at all times

Junior Contact Details

Junior President Kieren James 0419 821241

Junior Cricket Operations Steve Dunn 0417 825 916

Junior Registration Leeanne Hayes 0414 550 971

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