2022 Youth Leagues Player Registration Form

*TEAM NAME (Club or School)Please call or email if you child does not have a team

*AGE GROUP

8 & Under League - Saturday's (Starting April 16th)

11 & Under League - Wednesday's (Starting April 20th)

13 & Under League - Alternate Monday's

16 & Under League - Alternate Monday's (Starting April 25th)

*FIRST NAME

*MIDDLE INITIAL

*LAST NAME

*PLACE OF BIRTH

*DATE OF BIRTH

*HOME ADDRESS

*PARISH

*CONTACT NAME #1

*RELATIONSHIP TO PLAYER

*EMAIL

*HOME PHONE

*MOBILE PHONE

*WORK PHONE

CONTACT NAME #2

*RELATIONSHIP TO PLAYER

HOME PHONE

MOBILE PHONE

WORK PHONE

By signing this form you hereby give consent for your child to take part in the Bermuda Cricket Board’s Youth League and agree that the BCB will not be held liable for any injury that may occur from this participation. By signing you also agree any photos taken may be used in BCB promotional materials (social media, flyers, website etc.).

*SIGNATURE (Parent/Guardian)

SIGNATURE (Player - N/A if unable to sign)

*Date

Charities House, 25 Point Finger Road, Paget, DV 04
www.cricketbermuda.com E. info@cricket.bm T. 292 8958 F. 292 8959