Player Registration Form

Personal Information

Full Name: Date of Birth: Physical signature required from Parent/Guardian: Please download the form instead.
SA ID Number: Cell Number: Email Address: Residential Address:

Emergency Contact Details

Full Name: Relationship to Player: Contact Number:

Medical Information

Allergies or Medical Conditions: Medical Aid Provider: Medical Aid Number:

Previous Club History

Have you played for another club in the last 2 seasons?

More information

Primary Batting Config Primary Bowling Config Player Shirt Size Preferred Number on Shirt:

Annual Membership Fees

Club Agreements & Acknowledgements

By submitting this form, I acknowledge that,

• I am registering as a player with Greenbushes Cricket Club.
• I understand and accept that an annual membership fee becomes due and payable upon registration.
• I commit to abide by the club’s constitution, rules, code of conduct, and team policies.
• I authorize the club to store and use my personal information for communication, match registration, and administrative purposes in line with applicable data protection laws.
• I understand that participation in club events, matches, and training is at my own risk, and I indemnify the club against any liability.
• Greenbushes Cricket Club reserves the right to amend club terms or fees, with reasonable notice provided.