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Cornwood Cricket Club
Senior Colt Membership
Member's First Name
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Member's Last Name
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Date of birth
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Day
Month
Year
School Year
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Parent/Guardian 1 Full Name
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Parent/Guardian 1 Email Address
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Parent/Guardian 1 Phone Number
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Parent/Guardian 2 Full Name
Parent/Guardian 2 Email Address
Parent/Guardian 2 Phone Number
Photography Consent - We may use photographs of the colts member on our website, social media or other media platforms. please indicate your consent below
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I DO consent to photos of the member being used in club social media posts
I DO NOT consent to photos of the member being used by the club
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