Consent & Application Form

Consent & Application Form

Please print out this form (click here to download PDF), complete it and scan the form and then attach to the end of the Application form below. If you cannot scan please hand the completed form to Laurie Ward.

 

Application Form

Player Information

Please note that fields marked with (*) are required

Surname(*)
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First Name(*)
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Address
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Address
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Address
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Postal Code
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Home Tel.
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Date of Birth(*)
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School
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Grade
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Parent/Guardian Info

Parent/Guardian's Name
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Mobile No.
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E-mail(*)
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2nd Contact's name
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Mobile No.
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Parent/Guardian Info

Medical Aid details
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Disability(*)
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If you have selected Yes then please click on the disability in the list below. You can select more than one by holding down the Ctrl button and clicking on more than one item.

Disability
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Family Doctor
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Doctor's Tel.
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If you have any pre-existing medical conditions (e.g. allergies or chronic illnesses) please list them.

Conditions
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Sporting Information

Have you played cricket before? (*)
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If yes, where have you played the sport? Fill in the fields where applicable.

School
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Sport Club
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Coach's Name
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Province
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Before Submitting

Anti-Spam(*)
Anti-Spam
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Player Login

 

bus card

Coaching Times

MONDAY-FRIDAY

One hourly session from 13h00-18h00 (public and school holidays incl.)

SATURDAY-SUNDAY (Winter Only)

One hourly sessions from 08h00-11h00 (public and school holidays incl.)
 

Indemnity

Parents and students are aware that participating in cricket coaching sessions is a potentially hazardous activity. Parents assume all risks associated with participation in this sport, including but not limited to falls, contact with other participants, balls, equipment, and other reasonable risk conditions associated with the sport. All such risks are known and understood by the parents and students.

Montague Arena

Montague Action Arena is one of the longest running Arenas in South Africa. Established more than 17 years ago, the Arena has provided the best Action Sports to the greater City Bowl, Milnerton, West Coast and Goodwood regions.

It has consistently been amongst the top-performing arenas in the country from inception and has been number 1 countrywide for the past 3 years. We feel proud to be part of this success story.