Women’s Winter Programme Registration Cricket Shropshire – Women’s Winter Programme Registration 2025 Player's NameDate of BirthPlayer ethnicityWhite English, Welsh, Scottish, Northern Irish, or British Irish Gypsy or Irish Traveller Any other White background (please specify)Mixed or Multiple ethnic groups White and Black Caribbean White and Black African White and Asian Any other Mixed or Multiple ethnic background (please specify)Asian or Asian British Indian Pakistani Bangladeshi Chinese Any other Asian background (please specify)Black, African, Caribbean, or Black British African Caribbean Any other Black, African, or Caribbean background (please specify)Other ethnic group Arab Any other ethnic group (please specifyPrefer not to sayClubSchool or college? (if applicable)Emergency Contact NameEmergency Contact Email Emergency Contact Telephone NumberPostcodeDo you have access to transport to and from sessions Yes No Have you been diagnosed with ADHD, Dyslexia, Autism etc. Yes No If yes, please provide details.Do you have any medical conditions or access requirements we should be aware of?I give consent for the SCB to capture photos/videos for coaching and promotional use on our social media sites and website Yes No I give consent for the coaching staff to take appropriate action in the unlikely event of an emergency, including the administering of Emergency First Aid. Yes No I confirm I have read and understood the Cricket Shropshire Code of Conduct attached to the original email. Yes, I have read and understood the Code of Conduct No
