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Player First Name (required)

Please leave this field empty.

Player Last Name (required)

Gender: (required)
- - Please Select --FemaleMale

Date of Birth (required)

Address (required)

Town (required)

Player Mobile (if available)

Player Email (if available)

Club (required)

Grade Playing (required)

School (required - please type na if no longer at school)

Current School Year: (required)
- - Please Select --Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Left School

Parent / Guardian Name(s)

Home Phone (required)

Parent Mobile (required)

Parent Email (required)

Batsman Type: (required)
- - Please Select --RH Top OrderLH Top OrderRH Middle OrderLH Middle OrderRH Lower OrderLH Lower Order

Bowler Type: (required)
- - Please Select --Right arm PaceRight arm MediumRight arm Leg SpinRight arm Off SpinLeft arm PaceLeft arm MediumLeft arm Leg SpinLeft arm Off SpinOther

Are you a wicketkeeper? YesNo

The cost is $100 pp payable to South Canterbury Cricket on confirmation of selection for a training group.

• Payment may be made via online banking to ANZ Bank 06 0889 0314476 00 (Please use player name as reference)
• By post to;
  Winter Training
  c/- South Canterbury Cricket
  P O Box 335
  Timaru 7940

** Payment must be received prior to, or at the first training session.

(Note non-payment may lead to your child missing valuable sessions, or could be jeopardising another person's opportunity).

How Will / Have You Paid? (required)

Pay OnlinePosted Payment with Registration FormWill Pay at 1st Training Session

Further Comments / Player Unavailability

You will also receive a copy of this form at the email you have given, so make sure you have spelled it correctly.