St Albans Cricket Club - 2019/20 Registration
 

  • This form is dynamically generated based upon the membership/registration options you select. Please follow the steps [1-4] in order and enter all visible fields as required.
  • By submitting this form you are agreeing to the terms and conditions of membership and will be considered the same as physically signing a registration form.

  • [1] MEMBERSHIP CATEGORY:




    ?only applicable for those playing in President's grade



    ?this is a non-playing members only category

    [2] AVAILABILITY:



    [3] PERSONAL DETAILS:

    First Name(s):

    Surname:

    Street Address:

    Suburb:

    City/Town:

    Postcode:

    (lookup code)

    Home Phone:

    Mobile:

    E-mail Address:

    Gender:

    Date of Birth:

      

    Allergies/Conditions:

    School Name:

    School Year:

    Parents' Name(s):

    Parent Availability:

    Please indicate if you are able to assist in the
    following areas (a number of these roles require
    very little time or cricket knowledge and training
    is available):





    Name of Institution:

    Student ID Number:

    Additional Notes:

    [4] REGISTRATION OPTIONS:

    Subscription owing:
    To pay your subscription via online banking use account: 03-0802-0091696-00 (include your Name as the reference so we can identify you).

    You must pay your subscription in full BEFORE November 30 or have begun an automatic payment to the above account before this date.

    If a payment method is not set up prior to this date, you will be ineligible for selection until an arrangement is made.

    Automatic payment options:
  • monthly (x4)
  • fortnightly (x8)
  • weekly (x16)
  • [5] YOUR CREDIT CARD DETAILS:

    Card type:

    Name on card:

    Card number:

    ---

    Card expiry:



    Please note: by clicking submit, your details will be included in the New Zealand Cricket national participant database. Access to personal data is firmly restricted to specific club, association & national administrators. Please email us if you have any concerns or wish to know more.