Roe Green Cricket Club Youth Section
Membership Application Form

We are very pleased to welcome you to Roe Green Cricket Club. Please insert the information requested below and bring the completed form to our sign on sessionsreturn or pass this form to either your Team Coach, Manager or to the address at the end of the form. If you are under 18 please also ask a parent or guardian to sign the form before it is returned. We use this information to contact you regarding cricketing matters such as team selection and training sessions. We will also use this information to ensure that you are kept informed about club events.The information will also be safely stored electronically but we will not pass this information to third parties outside the Salford cricket community.

Section 1 – Player Detail

Name: / Date of Birth:
Forename / Forename / Surname
Address: / Home Telephone Number:
Junior Member’s Own Mobile:
Member’s Own Email Address:
Postcode: / School:

Section 2 – Medical Background

Please detail below any important medical information that our Coaching Team / Team Managers should be aware of - e.g. epilepsy, asthma, diabetes, etc. In addition, if you take any regular medication, please tell us about it:

Section 3 – Emergency Contact Details, to be completed by Parent / Guardian

Please insert the information below to indicate the person(s) who should be contacted in case of an incident / accident:

Primary Contact Name:
E.g. name of a Parent or Guardian
Primary Emergency Contact Number:
Secondary Contact Name:
Secondary Emergency Contact Number:
Parents e-mail address

Note: We will use the above contact details and club notice boards to contact and pass information onto junior cricketers and parents. Roe Green cc also has a forum page on their website where there is a section for all things concerning youth cricket and the website itself has a link for youth section news. These are the only channels for communicating official cricket business to members. Roe Green will not contact junior members in any official capacity via any social network sites.

Section 4 – Authority to Register with Play-Cricket.com Website

The website is a great way to follow Roe Green CC’s junior players and their teams – and will provide a player’s averages and general performance over the season. It is a great website for players and their families – and totally regulated by the ECB and its Welfare Personnel.

There is a link to the website from our own website -

 / I would like to be registered with the Play-cricket.com website

Section 5 - Sports Equity Monitoring

Whilst it is not compulsory that this section is completed, the following paragraph explains why it is important.

Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have traditionally existed within sport, particularly in relation to gender, race and disability. Sport England is committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of young people in sports clubs, national governing bodies of sport and Sport England can identify any issues relating to under-representation of different groups and can together develop strategies to ensure that all young people have the opportunity in the future to develop and progress in sport.

Ethnicity

WHITE / British / Irish
Other please specify:
MIXED / White and Black Caribbean / White and Black African / White and Asian
Other please specify:
ASIAN OR ASIAN BRITISH / Indian / Pakistani / Bangladeshi
Other Asian background:
BLACK OR BLACK BRITISH / Caribbean / African
Other Black Background:
OTHER ETHNIC GROUP

Disability

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities’.

Do you consider yourself to have a disability? / Yes / No

If ‘no’, please proceed to Section 4. If ‘Yes’, what is the nature of your disability?

Visual Impairment / Hearing Impairment / Physical Impairment
Learning Disability / Multiple Disability / Other (please specify below)

Section 6 - Consent - Recorded Images

Please note that this part of the form needs to be signed by the Young Player (if aged between 12 and 18) as well as by the Parent or Legal Guardian of the Young Player.

Roe Green Cricket Club recognises the need to ensure the welfare and safety of all Young People in Cricket. As part of this commitment we will not permit photographs, video images or other images of Young People to be taken or used without the consent of the Parent/Guardian and the Young Player.

Roe Green Cricket Club follow the guidance issued in ‘Safe Hands - Cricket’s Policy for Safeguarding Children’ on the use of images of Young People which is available at Roe Green Cricket Club will take steps to ensure that these images are used solely for the purpose they are intended, which is the promotion and celebration of cricketing activities.

If photographs e.g. team or action shots, are submitted to the Press or published on Roe Green Cricket Club’swebsite or in our handbook individuals will not ordinarily be identified. Where a child or young person is identified it will only be with the explicit consent of parents.

Please note: Roe Green Cricket Club understands that there are circumstances under which a parent would not wish their child to be photographed. WhilstRoe Green Cricket Club will do all that it can to ensure the safety of children during photographed events, it is the responsibility of the parent concerned to ensure that if their child is not to be photographed and partakes in an activity and is by the nature of the activity inadvertently photographed or filmed, Roe Green Cricket Club cannot be held responsible.

To be completed by the Parent or Guardian if junior is under the age of 12

To be completed by the junior member if aged 12 years or over

I *consent / *do not consent to Roe Green Cricket Club photographing or videoing my *child’s involvement in cricket under the above terms and conditions.
Signature of Guardian: / Date:

Section7 - Transport to Matches and Practice Sessions

Roe Green Cricket Clubpolicy is that parents or other responsible adults are responsible for transporting players to and from all matches and practice sessions and therefore the Club will not be registering Private Vehicles for the transportation of individuals in connection with any fixtures or practice sessions arranged by the Club. The implementation of this policy is not intended to exclude any player from participation and parents or guardians should contact the Club Welfare Officer if they have any problems with the transportation of players to matches or practice sessions.

As a parent or guardian, I understand that it is my responsibility to ensure that my child is safely transported to and from matches and practice sessions:

Parent / Guardian Signature: / Date:
Print Name:

Section 8 – Consent to Play Senior Fixtures and Changing Room Policy

For players under the age of 18 playing in adult teams the following policy applies:

Young players uncomfortable with changing or showering with adults are under no obligation to do so and are advised to change and shower at home. Additionally, RGCC shall not permit mobile phones to be switched on or used, whilst junior cricket members are involved or using the changing room facilities.

Parental consent must be given if Young Players are to share changing facilities with adults

If Young Players are sharing changing facilities with adults, parents have the option to supervise them whilst they are changing. The Club will make reasonable efforts to arrange this.

Changing Room Policy Consent by Parent / Legal Guardian - Please tick the appropriate box

Under the above terms and conditions and I confirm that I have legal responsibility for this young person and am entitled to give this consent. I also confirm that I understand and accept the Club’s policy on transportation. If this young player participates in adult cricket

□he/she will change at home □ he/she can change at the club □ he/she can only change under supervision

The ECB has issued the following guidance covering the participation of young cricketers in adult matches. This guidance applies to boys and girls. RGCC recognise that we have a duty of care towards all young players who are representing the club. This duty of care also extends to Leagues that allow the participation of young players in adult teams in their League.

In addition the following specific requirements apply to young players in adult matches:

  • All young players who have not reached their 18th birthday must wear a helmet with a faceguard when batting and when standing up to the stumps when keeping wicket. Parental consent not to wear a helmet will not be accepted in adult matches. A young player acting as a runner must also wear a helmet even if the player he is running for is not doing so.
  • The current ECB fielding regulations will be adhered to and enforced by the umpires and captain. The umpires are empowered by these fielding regulations to stop the game immediately if a young player comes within the restricted distance.
  • The umpires and the opposing captain must be notified of the age group of all players participating in an adult match who are in the Under 19 age group or younger even if the player is not a fast bowler. This requirement also covers any young player taking the field as a substitute fielder. The ECB Team Sheet cards are freely available to facilitate this.
  • Players who are selected in a County U12 squad inspring for a summer squad or in another squaddeemed by ECB Performance Managers to be of astandard above ‘district level’ for that season areeligible to play open age cricket. This is providingthey are at least 11 years old, are in School Year 7 on1st September in the year preceding the season, andhave written parental consent to play. In allowingthese players to play in open age cricket it isessential clubs and coaches recognise the ‘duty ofcare’ obligations they have towards these youngplayersThis means boys and girls who are county squad andarea squad players, are able to play open age groupcricket if they are in an U12 age group and are aminimum of 11 years old on 1st September of the yearpreceding the season. District and club players who arenot in a county or area squads must wait until they reachthe U13 age group, be in Year 8 and be 12 years old on1st September of the preceding year before being ableto play in any open age group cricket. As before writtenparental consent is required for these players.Clubs must ensure that their player registration procedures ensure that consent is obtained. The guidance related to changing and showering (see ‘Safe Hands - Cricket’s Policy for Safeguarding Children’) must be adhered to. No children Under 12 shall be allowed to participate in adult cricket.
  • No young player in the Under 15 age group or younger shall be allowed to field closer than 8 yards (7.3 metres) from the middle stump, except behind the wicket on the off side, until the batsman has played at the ball.
  • For players in the Under 13 age group and below the distance is 11 yards (10 metres).
  • These minimum distances apply even if the player is wearing a helmet.
  • Should a young player in these age groups come within the restricted distance the umpire must stop the game immediately and instruct the fielder to move back?
  • In addition any young player in the Under 16 to Under 18 age groups, who has not reached the age of 18, must wear a helmet and, for boys, an abdominal protector (box) when fielding within 6 yards (5.5 metres) of the bat, except behind the wicket on the off side. Players should wear appropriate protective equipment whenever they are fielding in a position where they feel at risk.
  • These fielding regulations are applicable to all cricket in England and Wales.

As the parent / guardian I permit him / her to take part in senior cricket matches, if / when selected, on behalf of Roe Green Cricket Club, and will ensure that he / she wears the appropriate protective equipment.

Signed by Guardian / Parent:
Print Name: / Date:

Section 9 – Declaration of Agreement to RGCC Constitution and Rules

In accepting membership of Roe Green Cricket Club, I agree to abide by the Constitution and Rules of RGCC Youth Cricket Section, these are available on the website.

Member Signature:
Parent / Guardian Signature:

Section 10– Scorer

Junior Match scorers are ALWAYS required by the Club. Scoring allows older junior players and parents to get a better understanding of the rules of the games. If you are prepared to attend a free scorer’s course, run by Roe Green Cricket Club, please tick here. Thank you.

I am prepared to attend a scorer’s course ……………………………

Section 11 - Subscription and Payment Options

There are two different options for junior membership at Roe Green CC. Subscriptions are due on the 1st April. It is a requirement of the club to ensure that any junior participating in training sessions or matches are a fully paid member of the club which means they are fully insured under the club’s insurance policy. This will be strictly enforced by all youth coaches and managers, so it is the responsibility of the parents/ guardian to ensure that if these payments are not made by 1st April they are paid prior to undertaking any training sessions or matches.

Please make cheques out to Roe Green Cricket Club (Youth Section)

1st Junior & Family Membership / Includes / Cost
Player and their Family Membership
This covers a player and his/her family making use of social activities and use the bar facilities at RGCC /
  • Player’s Membership
  • Player’s Coaching and Match Fees
  • Player’s Family Membership
/ £45
2nd & Subsequent Junior Player / Includes / Cost
Player Only Membership /
  • Player’s Membership
  • Player’s Coaching and Match Fees
/ £25
2015 Membership form
As at 27/09/2018 / Page 1 of 5 /
Roe Green Cricket Club Youth Section
Standing Order Form /

Section 12 - Payment

Membership fees need to be paid by BACS:

Sort Code: 72-00-05Account Number: 40216801

Please include your name as the reference when paying by BACS.

2015 Membership form
As at 27/09/2018 / Page 1 of 5 /