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Registration & Consent Form

Registration & Consent FormACA London2021-12-14T14:33:41+00:00

The information provided can be used for Adnan Cricket Academy’s promotion and administration purposes. Please answer all questions as accurately as possible and inform us of any changes immediately by contacting the office.

- Step 1 of 2

Name Of Applicant *

Parent or Guardian’s Name *

Contact Number *

Email Address *

Service *

Age *

Essex Cricket Photography and Filming consent form

Essex Cricket will take all steps to ensure these images are used solely for the purposes for which they are intended. If you become aware that these images are being used inappropriately, please inform the County Safeguarding Officer immediately. safeguarding@essexcricket.org.uk In accordance with our child protection policy, we will not permit photographs, video or other im- ages of young people to be taken without consent.

Player Name *

Date of Birth

Declaration of consent – child aged 16 or over

Please tick each box (or delete what you do not consent to), then sign this form. If there is any con- cern about any category then it should be bought to the attention of the Club Safeguarding Officer,

Checkboxes

I give permission for my photograph to be used within the club for display purposes.
I give permission for my photograph to be used within other printed publications.
I give permission for my photograph to be used on the club’s website.
I give permission for my photograph to be used on the club’s social media pages.
I give permission for video of me to be used on the club’s website.
I give permission for video of me to be used on the club’s social media pages.
give permission for video of me to be used for training or analysis purposes.
I give permission for video of me to be used for streaming match footage.
I confirm that I have read, or been made aware of, how these images or videos will be stored within the organisation.

Declaration of consent – parent / carer of child under 16

Please tick each box (or delete what you do not consent to), then sign this form. If there is any concern about any category then it should be bought to the attention of the Club Safeguarding Officer,

Checkboxes

I give permission for my child’s photograph to be used within the club for display purposes.
I give permission for my child’s photograph to be used within other printed publications.
I give permission for my child’s photograph to be used on the club’s website
I give permission for my child’s photograph to be used on the club’s social media pages.
I give permission for video of my child to be used on the club’s website.
I give permission for video of my child to be used on the club’s social media pages.
I give permission for video of my child to be used for training or analysis purposes.
I give permission for video of my child to be used for streaming match footage.
I confirm that I have read, or been made aware of, how these images or videos will be stored within the organisation.

Name

Title

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