2017-18 Season TABLE of CONTENTS

Junior Handbook & Registration Information 2017-18 Season TABLE OF CONTENTS

Junior Registration Letter 3-4 Junior Registration Information 5 Season Dates For Training & First Match 6 Girls Competition - Anna Lanning Shield 7 Milo into Cricket 8 Milo T20 Blast 9 2017-18 Committee Members 10 Insurance 11 Young Bulls Foundation 12 Apparel 13-14 NBCC Code of Conduct & Club Principles 15-17 Junior Grading & Team Composition Policy 18-20 Junior Registration Form 21-22 Parent Declaration & Consent 23-24

NBCC Registration Information | 2017-18 Page 2 Junior Registration Letter

Dear NBCC Families

The 2017/2018 cricket season is soon upon us and I’m looking forward to another great season, seeing some old faces and hopefully seeing a few new ones too!

Some exciting news for our U10 players! The ECA alongside Cricket Victoria have introduced a new format. This means playing with fewer players and everyone getting a fair go at playing the game and developing their skills.

In 2017-18, we are looking to build on the girls success last season and hopefully we will be entering two girls team into the Anna Lanning Shield Competition (U13s and U15s). Also, this season all home games will be played at Macleay Park.

Thank you to all those parents who completed our survey, after listening to what you said, we have made the following changes, vv U18s will have a designated coach vv If we use a ground outside of Macleay Park for home games, teams will rotate, so everyone will get some home games at Macleay Park vv We will aim to place more players in a team, meaning less movement between teams and players get to stay together and develop as a team.

Registration All players intending to register with North Balwyn this season MUST do so by Friday 8th September.

This year you will be able to register online click here , or attend our Registration Day on 27th August from 10am - 12pm at our club rooms at Macleay Park.

To avoid your child being placed on the waiting list you MUST get their registration in by Friday 8th September.

If your child is NOT intending to return to play for NBCC this season, we would be grateful if you could notify us by phone or email, so that we can remove their name from the list.

Merchandise/apparel will be available for purchase (and orders can be placed for out of stock or special items) on registration day. Remember all junior players are required to wear an NBCC “Bulls” cap during games.

NBCC Registration Information | 2017-18 Page 3 Junior Registration Letter (Cont.)

As with previous seasons, funds raised by the Young Bulls Foundation (YBF) will be used to engage specialist coaches. This year all junior players will have the opportunity to have a free one-on-one coaching sessions.

The Young Bulls Foundation (YBF) is unique to the NBCC as a mechanism for providing a wide range of extra junior cricket development opportunities such as one-on-one coaching, specialist coaching, winter coaching, summer cricket camp, and special subsidies for approved cricket tours. More information about the YBF is located in the information booklet Click Here

Each season the YBF looks to expand on what is offered, and this season it is planned to offer extra subsidised one-on-one coaching sessions for those interested.

We encourage you to contribute financially to the YBF if you can. Your donation can be tax deductible if you complete the Australian Sports Foundation.

To keep up to date with all the club news and results, remember to visit the NBCC website http://www.nbccbulls.com.au

Please don’t hesitate to call or email should you have any queries.

Go North Balwyn Bulls!

Alex Berry Junior Coordinator & NBCC Committee Member E: [email protected] M: 0400 254 090

NBCC Registration Information | 2017-18 Page 4 Junior Registration Information

When: Sunday 27th August from 10.00am to 12 noon.

Where: The Club rooms at Macleay Park, Belmore Road, North Balwyn (Melways 46 C4).

Cost: Annual membership fee is $200 (with a discount of $10 for a 2nd child and $20 for the 3rd or more). A club cap is compulsory and costs an extra $20. (All caps and other apparel orders to be made via the form.on pages 13 & 14, or on registration day)

How: Choose of the following options to register for the 2017-2018 season 1. Register online via the following link Click Here OR 2. Bring completed registration form to the above registration session with payment. If registering for the first time, you must also bring a copy/ photocopy of the player’s birth certificate for sighting: OR 3. Pay all fees by direct debit or internet transfer to the North Balwyn Cricket Club (BSB 633-000 A/C No. 129949707) before Friday 8th September, ensuring the player’s name is clearly stated as payment reference, and separately email completed registration documents to juniors@nbccbulls. com.au

North Balwyn Cricket Club operates one of the largest junior sections in the eastern suburbs. The Club is committed to the enjoyment of cricket and the development of skills in all our players regardless of their age or ability. This season the Club plans to field, • 1 x U18 team • 2 x U16 teams • 4 x U14 teams • 4 x U12 teams • 3 x U10 teams * • 2 X Girls team (Anna Lanning Shield) • Milo in2 Cricket (5-7 yr olds) • T20 Blast (7-8 yr olds) * Please note that some U10 games may be played on Sunday mornings

NBCC Registration Information | 2017-18 Page 5 Season Dates For Training and First Match

Dates of Grading/ Training Commences First Match/ Milo & T20 Training (Myrtle Park at Macleay Park Nets Session Nets)

Tues 12th, 19th & 26th Tues 3rd October Fri 13th October U18s & U16s September 4.30-6.00pm 5.15-8.05pm 4.30-6.00pm

Thurs 14th, 21st & 28th Thurs 5th October Fri 13th October U14s September 4.30-6.00pm 5.15-8.05pm 4.00-6.00pm

Wed 13th, 20th & 27th Wed 4th October Sat 14th October U12s September 4.30-6.00pm 8.30-11.30am 4.00-6.00pm

Sat 14th October Mon 18th & 25th 8.30-11.30am Wed 4th October U10s September or 4.30-6.00pm 4.30-6.00pm Sun 15th October 8.30-11.30am

Mon 18th & 25th Wed 18th October Mon 2nd October Anna Lanning September (TBC) Shield 4.30-6.00pm 4.30-6.00pm 5.00- 7.00pm

th Milo in2 Sat 11 November N/A N/A Cricket 9.30-10.30am

Fri 27th October T20 Blast N/A N/A 5.30-7.00pm

NBCC Registration Information | 2017-18 Page 6 Girls Competition - Anna lanning Shield

The Eastern Cricket Association (ECA) is hoping to produce the next wave of female state cricketers through the all female Anna Lanning Shield competition.

Aimed at 10 to 17-year-olds, Anna Lanning Shield will help bridge the gap for female participation opportunities between MILO T20 Blast and Bartercard Premier Cricket.

The main goal of this all girls’ competition is first and foremost that the girls have fun, have something to look forward to each week, and then develop their skills while growing their love and understanding of the game.

“Having the competition named after Anna Lanning is also great because it will help create a connection and it will show the girls what’s possible in this sport.”

“Anna is a very good young player who has represented her state and is an outstanding leader” ECA Junior Chairman Richard Barker said.

NBCC entered it’s first team in the Anna Lanning Shield last season and the girls had an amazing season, reaching the Grand Final. With many clubs already participating in the competition, the ECA, CV and NBCC are hoping to recruit more girls this coming season.

The eight week Anna Lanning Shield begins on Wednesday 18th October (Date TBC) with away games at Hislop Park in Balwyn North and home games at Macleay Park from 5pm.

For more information contact Nicholas Vaughan on 0434 702 956, or email [email protected]

NBCC Registration Information | 2017-18 Page 7 Milo into Cricket

Why kids & parents love MILO in2CRICKET

✔ Its loads of fun in a safe environment ✔ Kids will learn basic cricket skills ✔ Develops fundamental movement skills ✔ Develops team values ✔ 8 - 12 week program ✔ All equipment supplied, including soft ball ✔ Sessions last up to 60 minutes ✔ Inclusive of all abilities, skill levels and children with a disability

Venue: Macleay Park Time: Saturday Mornings 9.30-10.30am Start Date: 11/11/17 Contact: Charles Cohen E: [email protected] M: 0402 252 053

Visit PLAYCRICKET.COM.AU/IN2CRICKET to find out more

NBCC Registration Information | 2017-18 Page 8 Milo T20 Blast

WHY KIDS & PARENTS LOVE

Venue: Macleay Park Time: Fridays 5.30-7.00pm Start Date: 27/10/17 Contact: Charles Cohen E: [email protected] M: 0402 252 053

MILO T20 Blast gives girls and boys the opportunity to play fun games of cricket in an active and social setting.

 For kids aged 7-12  8 week program  Fun and safe environment  Exciting atmosphere complete with music and dancing just like the KFC T20 Big Bash League  For kids who have basic cricket skills  Everyone gets a chance to bat, bowl and field  All games last up to 90 minutes  Games are played at one venue  All equipment supplied, including a soft ball  Girls only teams, as well as mixed teams are available  Facilitated by accredited coaches  Inclusive of children with a disability

VISIT PLAYCRICKET.COM.AU TO FIND OUT MORE

NBCC Registration Information | 2017-18 Page 9 2017-18 Committee Members

President: Neil Dalrymple E: [email protected] M: 0439 350 884

Junior Chairperson: John Fahey E: [email protected] M: 0407 562 027

Junior Coordinator: Alex Berry E: [email protected] M: 0400 254 090

Junior Communications: Harry Urwin E: [email protected] M: 0418 307 343

Junior Coaching Coordinator: Amrith Eldridge E: [email protected] M: 0434 034 226

Player Development & Milo/T20 Blast Coordinator: Charles Cohen E: [email protected] M: 0402 252 053

Girls Cricket & Pathways: Nick Vaughan E: [email protected] M: 0434 702 956

U16 Age level Coordinator: Peter Murphy E: [email protected] M: 0466 655 394

U14 Age level Coordinator: Natalie Cole E: [email protected] M: 0408 228 806

U12 Age level Coordinators: Nadeep & Sarasi De Silva E: [email protected] / [email protected] M: Nadeep 0429 357 019 / Sarasi 0433 519 601

U10 Age level Coordinator: David Millar E: [email protected] M: 0411 079 873

NBCC Registration Information | 2017-18 Page 10 Insurance

All registered playing members of North Balwyn Cricket Club are covered by Cricket Australia’s insurance provider – JLT Insurance. For details on insurance cover and on how to claim, please contact the club secretary or refer to http://www.jltsport.com.au/cricketaustralia/ for detailed information on what is covered.

NBCC Registration Information | 2017-18 Page 11 Young Bulls Foundation (YBF)

The NBCC YBF is a program designed to assist and retain young NBCC players as they make the progression from junior cricket through to representing NBCC at senior level.

The objectives of the NBCC YBF are, 1. Ensure players, parents, coaches and administrators at NBCC are aware of the pathway from junior cricket through to representing NBCC at senior level. 2. Ensure all young players receive access to high quality training, facilities and coaching. 3. Identify keen, promising and talented young cricketers for participation in advanced cricket activities.

What activities planned for 2017/18 season will be supported by the NBCC YBF?

Who may Activity When? Age participate?

Support to NBCC Annually 11-14yo Participants in the Winter Junior June - September NBCC Winter Junior Development Squad Development Squad for venue hire and specialist coaching Specialist group At least six sessions U12, U14, U16 Will be selected upon coaching by in October - February & U18 application. professional coaches To be publicised in (former First Class advance. cricketers) Individual 1-on-1 October - February All All on their age coaching Roster to be group’s rostered publicised in night will receive advance. 30 minutes of 1-on- 1 coaching from a qualified coach

For more information on the YBF Click Here

NBCC Registration Information | 2017-18 Page 12 Junior Apparel

JUNIOR APPAREL Order Form Season 2017.18

Play Day shirt $40 White Pant $35 Training $40 Social $40

Optional Extras ∗ Long sleeve Play Day Shirt (subject to availability) ∗ Name on back for Play Day shirt Hoodie $65 Cap $20 Play Day Vest $65 ADD $10.00 each Item No. Size Qty Price Line Total PAYMENT METHODS $ $ $ $ CASH / CHEQUE/ $ $ EFTPOS/ CREDIT CARD/ $ $ INTERNET TRANSFER $ $ NBCC Account $ $ BSB: 633-000 $ $ Acc. #: 129949707 Order Total $

PLAYER Name______Club Admin Contact email:______Payment: Date: Junior sizes – 7-8, 9-10, 11-12, 13-14, Supplied: 2XS, XS, S, M, L, XL Return your order with registration or to Jo Cohen All enquiries to Jo, [email protected] 0413 088 708

NBCC Registration Information | 2017-18 Page 13 Junior Apparel (Cont.)

GIRLS APPAREL Order Form Season 2017.18

Play Day shirt $40 Playing Pant $40 Training $40 Cap $20

Optional Extra

* Name on back of play day shirt Add $10 Shorts $35 Jacket $50 Hoodie $65

Item No. Size Qty Price Line Total PAYMENT METHODS $ $ CASH / CHEQUE/ $ $ EFTPOS/ $ $ CREDIT CARD/ $ $ INTERNET TRANSFER NBCC Account $ $ BSB: 633-000 $ $ Acc. #: 129949707 Order Total $ PLAYER Name______Contact email:______Club Admin Payment: Youth sizes – 7-8, 9-10, 11-12, 13-14, Date: Girls/Womens sizes – 8, 10, 12, 14, 16, 18, 20 Supplied: Return your order with registration or to Jo Cohen All enquiries to Jo, [email protected] 0413 088 708

NBCC Registration Information | 2017-18 Page 14 NBCC Code of Conduct and Club Principles

1. Goals of the NBCC Junior Section • Provide a safe and friendly environment where all junior members can have fun playing cricket • Develop all junior members’ cricketing skills and knowledge of how to play the game • Provide the opportunity for all junior members and their families to meet and socialise with people who have a similar interest in cricket

2. Code of Conduct The NBCC Junior Section’s Code of Conduct applies to all players, parents, officials, coaches and managers. The club expects these individuals to abide by the following principles: • To respect the traditions of the game • To encourage our players and provide the best possible opportunity for them to participate; and for A and B graded teams, the coach should endeavour to encourage the team to win the game whilst ensuring ALL players are provided with an appropriate opportunity to improve their skills. • To respect and accept the umpire’s decision • To demonstrate good sportsmanship • To respect the name and reputation of the North Balwyn Cricket Club • To play fairly and always within the rules of the game • To respect our opposition • To play to the best of our ability • To respect the club’s equipment and property • To always help and cooperate with your Coach and Team Manager . 3. Grading of Players Grading of players will be conducted prior to the commencement of the season. Grading assessment will be the sole responsibility of NBCC. Please see our grading and team composition policy.

4. Club Membership and Fees In order to play, a junior player must be a registered financial member of the club. Membership renewals and new applications as well as associated fees must be received prior to the first game in which a junior player participates. In order to be as accurate as possible with team nominations to the ECA, it is desirable that memberships and fees be received prior to 1st September.

NBCC Registration Information | 2017-18 Page 15 NBCC Code of Conduct and Club Principles (Cont.)

5. Wait Lists Where a membership application is received after this date the player may be placed on a wait list for allocation to a team. Where such wait list situations arise, fees shall not be payable until the player is released from the wait list and allocated to a team.

6. Team Composition See our grading and team composition policy.

7. Training & Coaching Players are expected to attend all training sessions conducted throughout the season. Player attitude and attendance at training sessions will be taken into account when determining: • Level of involvement such as bowling and batting roles, particularly in the highest graded team at each grade level; • Club awards.

8. Safety Policies It is compulsory for all players to wear helmets when batting in matches and training and also when wicket-keeping. In the event of an accident or injury at practice or in a game, a representative of the NBCC will ensure the player attends the nearest doctor or hospital as appropriate and every effort will be made to contact the player’s parent or guardian.

9. Dress Code Basic cricket gear is required to be worn which includes: • Coloured players cricket shirt • White shorts or long pants • White runners • White or cream jumper • NBCC cap or cricket hat

NBCC Registration Information | 2017-18 Page 16 NBCC Code of Conduct and Club Principles (Cont.)

10. Parental Involvement Parental involvement is a key to the success of the Junior Section of the club. Typically, parental involvement includes assisting to set-up grounds, organise players during the match, scoring, bringing morning tea / refreshments for the players and fund raising. All parents are expected to assist (or arrange others to assist) with the running of the team with which their child is a member. A roster system will be organised by the Team Manager detailing duties and dates for this involvement.

NBCC Registration Information | 2017-18 Page 17 Junior Grading and Team Composition Policy

Grading Selection Committee

The Eastern Cricket Association competition, in which NBCC participates, is a graded competition at U12, U14 and U16 levels. This policy describes the process by which NBCC assesses a player’s ability to participate at a particular grade in the ECA competition. The aim of grading is to ensure that players neither play at too high nor too low a level, so that they enjoy the game and improve their cricket and enable NBCC to field competitive teams in each ECA competition grade in which NBCC has entered a team.

The Junior Grading Selection Committee consists of:

• Junior Coaching Coordinator (JCC) • Team Coaches • Age Level Coordinators (ALC) • Junior Administration Coordinator (JAC)

The roles of the Junior Grading Selection Committee and its members are to:

• JAC to organise Grading Sessions prior to the season and book the venue • Junior sub committee to appoint Assessors for the grading procedure • ALC to determine and issue player assessment worksheets • ALCs to advise players in their age group of the details of the Grading Sessions • ALC and, or JAC to oversee the sessions for their age group • ALC and, or JAC to collect the assessment worksheets after each session

The Assessors will consist of the JCC and team coaches. The final selections must be overseen and finalised by the JAC and the relevant ALC.

JCC, team coaches, JAC and the ALCs are NBCC Committee appointed positions at the recommendation of the junior sub-committee..

NBCC Registration Information | 2017-18 Page 18 Junior Grading and Team Composition Policy (Cont.)

Junior Team Entry and Grading Process: • Selection takes place over a four-week period prior to the first game, with teams posted on NBCCs’ website at least 1 week prior to the first game. We encourage players to attend this pre season training, but it will not be the only factor in grading. • The grading selection committee is responsible for selecting the club’s junior teams and the level entered (i.e. As, Bs or Cs). • Player age as at 1st September should dictate which age section they play in. • Team composition at A and B grade level will be based on merit and skill level. • Team composition at C grade levels will be based on a combination of merit and friendships • As a general rule, the teams will reach capacity as follows: {{ U10s = 10 players {{ A grade = 12 players {{ B grade = 14 players {{ C grade = 14 players {{ U18s = 14 players

Any variation to the above will be subject to agreement by the team coach, manager and ALC. • Where a membership application is received after the registration date the player may be placed on a wait list for allocation to a team. Where such wait list situations arise, fees shall not be payable until the player is released from the wait list and allocated to a team. • Any player permanently promoted through out the season will be advised by the relevant ALC after consultation with the JCC and team coaches. The JC will oversee this selection and have the final say if the other parties cannot reach agreement. • NBCC will make all possible efforts to avoid relegating any junior player. Relegation may be considered if the player is struggling (judged on safety or consistent poor performance) and/or has requested a move down in levels. • If any parent/player has a query/concern, or would like to discuss their son’s or daughter’s grading and selection they are encouraged to contact the ALC in the first instance, who will involve the JC if needed.

NBCC Registration Information | 2017-18 Page 19 Junior Grading and Team Composition Policy (Cont.)

Junior Teams Selection Criteria

The following factors will be taken into account when selecting teams: • Team balance - the Junior Grading Selection Committee will focus on ensuring teams are balanced. • Individual performances - There is a focus on all-round performance including batting, bowling and fielding. Performance in the context of the game and quality of the game will also be noted. • Previous Stats - This includes players’ previous stats on MyCricket. • Financial status – players who have paid their subscriptions will be given priority. • Effort and Attendance – This includes players’ attitude to the club as well as attendance and effort at training. • Context of Season – Post-Christmas, the Junior Grading Selection Committee will take into account the likelihood of teams playing finals, and in some circumstances will need to consider qualification of players for finals when making selection decisions. Decisions made are intended to maximise the chances of success for the club. • Under Aged Players – The Junior Grading Selection Committee will try to place a player at the correct level that will help that player develop skills and confidence and result in a competitive team. This means some under aged players will be able to play in a higher age group in regulation with the ECA rules. If two players are of the same skill set then the Junior Grading Selection Committee will try to promote the upper aged player to the higher grade, as the under aged player will get a chance to play at that level the following season.

Contacts Junior Administration Coordinator Alex Berry P: 0400 254 090 E: [email protected]

Junior Coaching Coordinator Amrith Eldridge P: 0434 034 226 E: [email protected]

NBCC Registration Information | 2017-18 Page 20 Junior Registration Form 2017-18

Player Details Full name:…………………………………………………………………………… Date of birth: ………/………../……… Age (as at 1/9/17): ……...... yrs School :……………………………………………………………………………… Do you play cricket for your school on a Saturday? Y / N Friends you would like to play with (if team structure permits): …………………………………………………………………………………………. Previous experience (new players only): …………………………………………………………………………………………. Parent(s)/Guardian(s) Contact Details Name(s):……………………………………………………………………………... Address:……………………………………………………...... Phone (home):……………………………Mobile:…………………………….…. Email address:……………………………………………..……….……...………. Occupation/Trade:……………………………………..………….……...….……. Employer:……………………………………………………………………………

NBCC is a club of volunteers, which provides the opportunity for your child to play cricket. Parental assistance is regularly required. Please indicate ways in which you can help:

Team Manager Coaching Umpiring Committee Scoring Social events Club sponsorship First aid (qualified)

I will be at: Most matches Some matches

Please tick if you are happy for your contact details to be distributed to select NBCC sponsors. The funds raised by NBCC for the Young Bull Foundation will be used to benefit all junior cricketers throughout the season including specialist coaches, individual coaching etc.

NBCC Registration Information | 2017-18 Page 21 Junior Registration Form 2017-18

Payment information Membership (Annual fee of $200 with $10 discount for 2nd child and $20 discount for 3rd or more) $......

Apparel required (Complete the attached order form) $......

Young Bulls Foundation donation $...... • $20 will give a registered player a free 30 minute free one- on-one training session • $50 will give a registered player a free 30 minute free one- on-one training session, specialist group training sessions and discounted winter and summer training camps • $100 will help NBCC offer all of the above and a pathway to senior cricket and the League’s Premier Team!

Total amount owing (Circle payment type: Chq Cash EFTPOS Internet) $......

Date paid _____

Working With Children (WWC) Check Any volunteer involved in a sporting club that has direct contact with children must have completed a Working with Children (WWC) check. WWCs can be completed at any Australia Post outlet. Please collect and complete the form (do not sign), collect 100 points of ID and a passport-size photo and present yourself at Australia Post to complete and sign the application. All successful applicants for a WWC will receive a photo ID card and will be registered in My Cricket as a WWC holder. Valid WWCs last for 5 years from the date of issue. All team managers, coaches, captains and club executive members must hold a current WWC. For more information, refer to www.justice.vic.gov.au/workingwithchildren. If you are/will be a volunteer for NBCC and you already have a WWC, please complete the following: WWC ID Number: ...... Expiry Date: ......

NBCC Registration Information | 2017-18 Page 22 Parent Declaration and Informed Consent For Medical Treatment

I hereby give my permission for my child ______(please print clearly) to participate in cricket including training, matches, competitions and other cricket related events and programs during the 2017/2018 cricket season at North Balwyn Cricket Club (Club).

My child and I are aware that participating in cricket, whilst generally safe is a potentially hazardous activity. I accept all risks associated with participation in this sport including, but not limited to falls, contact with other participants, the effects of weather, traffic and other reasonable-risk conditions associated with the sport. All such risks to my child are known and understood by me.

I declare that my child is and must continue to be fit and able to participate in any Club activity. I will immediately notify the Club secretary in writing of any change to my child’s fitness and ability to participate. I understand and accept that the Club will continue to rely upon this declaration as evidence of my child’s continuing fitness and ability to participate.

Further, I authorise the Club and its officials to provide and/or arrange emergency medical treatment or hospital treatment (including ambulance transportation) at my expense (Treatment) for an injury to, or illness of, my child if qualified medical personnel consider treatment necessary and perform the treatment. This authorisation is granted if, and only if, I cannot be contacted and reasonable effort has been made to contact me and I indemnify and hold harmless the Club and its officials against all costs associated with Treatment.

I agree that the Club and its officials expressly exclude legal liability to the extent possible at law in respect of any personal injury sustained by my child whilst performing or participating in any club activity and I release the Club and its committee from such legal liability. I agree that the club provides basic player accident insurance for all players and that it may be advantageous for me to carry additional private health insurance cover for my child.

I understand this informed consent form and agree to its conditions on behalf of my child.

My family and I agree to abide by the Club’s code of conduct and constitution.

NBCC Registration Information | 2017-18 Page 23 Parent Declaration and Informed Consent For Medical Treatment (Cont.)

Parent 1:…………………………………………………………………………...… Relationship to Child:…………………………………………………………....… Address:……………………………………………………...... Phone (home):……………………………Mobile:…………………………….…. Email address:……………………………………………..……….……...……….

Parent 2:…………………………………………………………………………...… Relationship to Child:…………………………………………………………....… Address:……………………………………………………...... Phone (home):……………………………Mobile:…………………………….…. Email address:……………………………………………..……….……...……….

Family Doctor:……………………………………..………….……...….…...... …. Pre-existing medical conditions:…………………..………….……...….……..

Parent/Guardian’s signature Date

Players signature Date

NBCC Registration Information | 2017-18 Page 24 www.nbcc.vic.cricket.com.au | [email protected]