Nazeing Common Cricket Club - Local league and friendly cricket

NCCC Playing Membership Form

Once complete your details will be sent to the Club Secretary.

Membership fees are payable month. They should be made by bank transfer.
Members are required to complete a new membership form via the club’s website. It will be the responsibility of the member to provide any updates to the details supplied.
All junior members must also have a consent form signed by a parent or legal guardian. This form must be signed before the junior member will be allowed to take part in matches or coaching sessions. Once you have registered we will send you the consent form to sign.

Membership Type

Please Tick Appropriate Box

Name

If you are applying for Individual/Junior or Family/Junior membership please provide the contact details of a parent or guardian in this section. We will be in touch to collect the information we need on junior members separately.

First Name

Last Name

Mobile

Address

Postcode

Date of Birth

Emergency Contact Details 1

Please provide the Name, Relationship, Phone Number, and Address

Emergency Contact Details 2

Please provide the Name, Relationship, Phone Number, and Address

Medical Information

Please detail below any important medical information that our captains/coaches/junior coordinator should be aware of (e.g. epilepsy, asthma, diabetes etc.)

Full Members Only - Linked Associate Member

All Full Members can nominate another individual for Associate Membership at no additional cost

First Name

Last Name

Linked Associate Member's Email

Linked Associate Member's Mobile Number

Junior Members

If you are applying for Playing or a Family/Junior membership you can add your children or children you are responsible for to your account. We will be in touch shortly to collect medical and emergency contacts for each child you list below.

Data Protection

I agree that the Club can use the information provided on this Membership Form (together with other information it obtains about the player) to administer his/her cricketing activity at the Club and in any activities in which he/she participates through the Club and to care for and supervise activities in which he/she is involved, in accordance to the Club’s Data Privacy Policy. In some cases this may require the Club to disclose the information to County Boards, Leagues and to the England and Wales Cricket Board. In the event of a medical issue or child protection issue arising, the Club may disclose certain information to doctors or other medical specialists and/or to police, children’s social care, the Courts and/or probation officers and, potentially to legal and other advisers involved in an investigation.