ACTive Cricket Academy Registration and Payment Form

Child Registration Details

Please fill in the below information
CHILD 1
Full Name of Child *

First Name Last Name
Gender *
Any medical conditions/allergies
Eg Asthma, Diabetes etc
DOB of Child

Month Day Year
Date
Name of School
Club Name (if applicable)
What club or team do you play for? If you only play for a school team, enter your school and team name/nickname.
Playing Experience *
General guide only
Playing Role
Bowling Style
CHILD 2
Full Name of Child *

First Name Last Name
Gender *
Any medical conditions/allergies
Eg Asthma, Diabetes etc
DOB of Child *

Month Day Year
Date
Name of School
Club Name (if applicable)
What club or team do you play for? If you only play for a school team, enter your school and team name/nickname.
Playing Experience *
General guide only
Playing Role
Bowling Style
CHILD 3
Full Name of Child *

First Name Last Name
Gender *
Any medical conditions/allergies
Eg Asthma, Diabetes etc
DOB of Child *

Month Day Year
Date
Name of School
Club Name (if applicable)
What club or team do you play for? If you only player for a school team, enter your school and team name/nickname.
Playing Experience *
General guide only
Playing Role
Bowling Style
CHILD 4
Full Name of Child *

First Name Last Name
Gender *
Any medical conditions/allergies
Eg Asthma, Diabetes etc
DOB of Child *

Month Day Year
Date
Name of School
Club Name (if applicable)
What club or team do you play for? If you only play for a school team, enter your school and team name/nickname.
Playing Experience *
General guide only
Playing Role
Bowling Style

Optional Apparel Pack

Includes Training & Polo Shirt, Hoodie, Shorts & Cap
Do you wish to purchase the optional apparel pack?
For assistance in sizes, click here: ISC Sizing Chart
CHILD 1
Training Shirt/Polo Shirt
Hoodie Size?
Shorts Size?
CHILD 2
Training Shirt/Polo Shirt
Hoodie Size?
Shorts Size?
CHILD 3
Training Shirt/Polo Shirt
Hoodie Size?
Shorts Size?
CHILD 4
Training Shirt/Polo Shirt
Hoodie Size?
Shorts Size?

ACTive Cricket Academy
I agree to the Terms & Conditions of the ACTive Academy and would like to confirm my registration
Should be Empty:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

ACTive Cricket Academy

Personal Details

Child Registration Details

Optional Apparel Pack

ACTive Cricket Academy