Chance To Shine STREET Cricket Wellington Contact Form C2S Street Wellington Contact Form Child Name(Required) First Last Child Date of Birth MM slash DD slash YYYY Child EthnicityIndianPakistaniBangladeshiChineseAny other Asian backgroundCaribbeanAfricanAny other Black, Black British, or Caribbean backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic backgroundEnglish, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White backgroundArabAny other ethnic groupParent Email Address(Required) Enter Email Confirm Email Parent Contact Phone Number(Required)I give permission for my child to take part in the C2S Street Cricket Activities(Required) Yes No I give permission for SCB Staff to administer First Aid in the event of an emergency? Yes No Please give details below of any access or medical needs regarding your son/daughter:How will your child get to and from the sessions? My child will be collected by a parent/family member My child will be collected by another parent or friend My child will walk home on their own
