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Date of Signature____________________________________2008
I hereby consent to be registered by the above competition
as a player for ________________________________Cricket Club.
Signature of Player Name in BLOCK CAPITALS
___________________ _________________________
Full Postal Address
___________________________________________________________
___________________________________________________________
If a registered Junior now for your Club - YES / NO
If under 21 please state date of birth ____________________________
Previous Club & League ___________________________________________
How long since registered for them _____________________________
Country of Origin _______________________________________________
Signed (by the Hon Secretary) Cricket Club
______________________________
RECEIVED THE REGISTRATION FORM
from ______________________________________ Cricket Club
For (Name of player) ____________________________________
Date of Form ________________________________2008
Date of Registration __________________________2008
Registration Secretary __________________________Signature
Send Completed form to:- Hon. Registration Secretary
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