OXFORD TIMES CHERWELL CRICKET LEAGUE

 

REGISTRATION FORM (CATEGORY 1 & 2) SEASON 2007

 

THIS FORM MUST BE COMPLETED BY THE PLAYER CONCERNED IN HIS / HER OWN HANDWRITING AND BE DATED AND SIGNED WITH HIS / HER NORMAL SIGNATURE. AFTER BEING SIGNED BY THE PLAYER THE CLUB SECRETARY,  REGISTRATION SECRETARY OR CHAIRMAN SHOULD THEN COUNTERSIGN THE FORM,  DATE IT AND SEND IT TO THE ADDRESS SHOWN BELOW.

 

(Please complete all sections. Failure to do so may result in a player not being eligible to play)

 

 

NAME OF CLUB   …………………………………………………………………………………………………………..

 

 

SURNAME ………………………………………………………………………….       

 

 

FIRST NAME(S)  ……………………………………………………………………

 

 

ADDRESS   ……………………………………………………………..

 

 

                   …………………………………………………………………………..

 

                 

                   …………………………………………………………………………..

 

 

POST CODE  …………………………………………………………………………

 

 

 

DATE OF BIRTH ……………………………………….       

 

 

 

SIGNATURE OF PLAYER  ………………………………………………..       
DATE ………………………… 

                                                                                                           

 

SIGNATURE OF CLUB SECRETARY ……………………………………………       
DATE ………………………… 

 

 

The Oxford Times Cherwell Cricket League will NOT divulge ANY addresses to any third party without the consent of the signatory.

 

Please post or return by hand (not by email or fax) to:-

 

P J Tomlin, 6 Kingfisher Road, Buckingham, MK18 7EY.

 

(Mick Boyden, 14 Gleneagles Close, Bletchley, MK3 7RT. After 10 May 2007)

 

For official use only

 

Registration Number  …………………..                                                                                               

 

 

Date eligible to play ……………………………..