ACTive Cricket Academy Registration and Payment Form

Child Registration Details

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

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

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

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

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

MonthDayYear
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:

ACTive Cricket Academy

Personal Details

Child Registration Details

Optional Apparel Pack

ACTive Cricket Academy