Fulham Cricket Club Registration and Consent Form 2018/19

Confidentiality: Details on this form will be held securely and will only be shared with coaches or others who need this information in order to meet the specific needs of your child whilst engaged with Fulham Cricket Club.


Emergency contact information:


Medical information:



If Yes please give details

If Yes please give details

If Yes please give details

If Yes please give details

If Yes please give details

Consent information: please tick the boxes below


Subscriptions:

If paying by cheque, please make cheques payable to Fulham Sports Club Ltd. Please note a 50% sibling discount applies for all siblings.