Registration Form

WWW.HKSZ.TV & WWW.HKSZCRICKETACADEMY.COM

CRICKET REGISTRATION FORM

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

FIRST NAMES (IN FULL): …………………………………………..……………………………………………………….….

DATE OF BIRTH: ……………………………………………………….…………....

ADDRESS: …………………………………………………………………………………….

POST CODE: …………………………………………………

PARENT/GUARDIAN TEL. NUMBER : (HOME): ……………………………………………………. (MOBILE): …………………………………………………….…………....………….

PARENT/GUARDIAN EMAIL ADDRESS: ………………………………………………

TELEPHONE / MOBILE NUMBER & CONTACT NAME: ………………………………….……………………………………

DETAILS OF ANY MEDICAL CONDITION OR ALLERGIES

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HKSZ.TV- Level 14, Boulevard Plaza Tower 1, Sheikh Mohammed Bin Rashid Boulevard, Downtown Dubai, P O Box 334036, Dubai, United Arab Emirates Tel: +971-4-455 8555, Fax: +971 4 455 8556:

www.hksz.tv, Like us @ Facebook/Hksz.tv, Instagram: hksz.tv

I would like my child to take part in practice and matches organised by HKSZ & Saeed Ajmal ICA. I understand that the Academy and its officers, employees or agents are not under any liability whatsoever of loss of property, accidents or injuries of or to my child howsoever caused during practice or matches played by HKSZ & Saeed Ajmal ICA or other grounds. I do however understand that reasonable care will be taken to ensure my child’s safety. (It is my duty as a parent or guardian to arrange Accidental Insurance if the child is not already insured HKSZ can only supply insurer details which the parent or guardian is responsible of).

The Academy will use the information provided on this Membership Form (together with other information it obtains about the player) to administer his/her cricketing activity at the Academy and in any activities in which he/she participates through the Academy and to care for and supervise activities in which he/she is involved.

In some cases this may require the Academy to disclose the information to County Boards, Leagues and to the England and Wales Cricket Board or any other authority In the event of a medical issue or child protection issue arising, the Academy may disclose certain information to doctors or other medical specialists and/or to police, children’s social care, the Courts and/or probation officers and, potentially to legal and other advisers involved in an investigation. The parents agree that it is responsible entirely for any information withheld and not known to the Academy.

Terms and condition apply

1. One adult per player to attend the academy’s nets premises 2. No filming, no phones, no photos permitted on the premises although the parent accepts for HKSZ.TV to film and photograph the child within HKSZ & Saeed Ajmal ICA nets & classes sessions. 3. No parental interaction with players or coaches unless authorised 4. All queries to management only by email 5. Any missed paid sessions will not roll over unless authorised 6. Deposit paid is non refundable 7. Late arrival shall not mean extended time at the end of the session 8. Players to bring their full HKSZ kit/cricket equipment 9. Management reserve the right in refusing admission 10. Registered Child should have Accident & Damage Insurance arranged before joining the Academy. 11. Only the HKSZ &Saeed Ajmal ICA kit is allowed to be worn at the academy during sessions . All bats will be covered in displaying the HKSZ.TV logo as no international player will promote any other brand.

As the person completing this form, you must ensure that the person whose information you record on this form knows what will happen to their information and how it may be disclosed. And register child has an Accidental Insurance before signing this form.

SIGNATURE………….………………………………………………….….… (Please Print)…………………………………………..……………

DATE…….………………………………..……

(PARENT/GUARDIAN)

HKSZ.TV- Level 14, Boulevard Plaza Tower 1, Sheikh Mohammed Bin Rashid Boulevard, Downtown Dubai, P O Box 334036, Dubai, United Arab Emirates Tel: +971-4-455 8555, Fax: +971 4 455 8556: