2012/2013 Cricket Season
Registration Form
Name: _______________________________________________________________
Address: _____________________________________________________________
Telephone :(H) ________________. (M) ___________________. (W) ____________
Date of Birth: ___________________ Email _______________________________
Last Club Played With: _________________________________________________
I (Players name) _________________________________hereby wish to register as a
playing member of the Shepparton & Youth Club United Cricket Club.
Signature: ___________________________________________________________
Date Signed: ____________________
Witness :(Secretary of S&YCUCC). _______________________________________
If under 18, Parent or Guardians signature required. ___________________________
Please print name. _____________________________________________________
Upon completion of registration form, all playing members are required to pay an annual
subscription fee by deadline set by Executive Committee or by other arrangement with
Secretary of the Shepparton & Youth Club United CC.
I have been informed of fee structure (Please circle) Yes No
I have been given a copy of the clubs Player Conduct Code (Please circle) Yes No
I agree to uphold all terms and conditions of this Player Code (Please circle) Yes No
Transfer/Clearance Form
(Must be completed in conjunction with Registration Form)
Application to transfer from _____________________________________________
Application to transfer toSHEPPARTON & YOUTH CLUB UNITED CC
Date of application ____________________________________________________
Signature of applicant __________________________________________________
If under 18, Parent or Guardian Signature required ____________________________
Name of Parent/Guardian (Please print) ____________________________________
Date Signed___________________________________________________________
Witness (Secretary of S&YCUCC) _________________________________________
Date Signed___________________________________________________________
Applications for transfer is approved (Please circle) YES NO
If NO, please provide reasons for refusal in space provided below.
_____________________________________________________________________
President of former club _________________________________________________
Signature_____________________________Date____________________________
Secretary of former club _________________________________________________
Signature_____________________________Date____________________________