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BARNET B'S CRICKET CLUB
COLTS' REGISTRATION FORM: SEASON 2008

Child's First Name..........................................................Surname................................................................

Date of Birth...................................................................Age at 1 Sept 2007................................................

Address..........................................................................................................................................................

Postcode........................................................Tel No......................................................................................

Mobile............................................................E-Mail.....................................................................................

Father's First Name....................................................Mother's First Name................................................

School..............................................................................................................................................................

ANNUAL SUBSCRIPTIONS are 70 for boys (60 for second and third sons) and 50 for girls. Cheques should be made payable to "Barclays Cricket Club" and are due by the registration evening on 4 April 2008.

PLEASE ENSURE THAT ALL MEDICAL DETAILS ASKED FOR BELOW ARE COMPLETED. IN THE EVENT OF AN EMERGENCY IT IS ESSENTIAL THAT WE KNOW WHETHER YOUR CHILD HAS ANY MEDICAL CONDITION.

Please indicate whether your child suffers from any health problems or disabilities:

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Please indicate if there is any immediate action we should take in the event of an emergency (e.g. child to take prescribed tablets, use inhaler etc.):

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CONTACT NAME(S) AND NO(S) FOR EMERGENCY..........................................................................

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Our registration evening is Friday 4th April 2008 at 6.30 PM at the Durham Suite behind Barnet Football Club. Please return this form before then together with your subscriptions to:

Trevor Chambers, 37 The Fairway, New Barnet, Herts, EN5 1HH. .
This will also guarantee your son/daughter a place.

Trevor Chambers, Colts Manager
Telephone: 020 8449 6297
Email: penvor@aol.com