Registrations - APSCRICKET

Name *

First

Last

Date of Birth (yyyy/mm/dd) (Example 1990/05/23) *

Age Group Registration *

u/15
u/17

Gender *

Contact Number *

Email *

Country *

Address Line 1 *

Address Line 2 *

Postal Code *

City *

Region *

Do you have any dietary requirements? *

Emergency Contact Name *

Emergency Contact Relationship *

Family, Guardian, etc.

Emergency Contact Number *

Medical Aid Name *

Medical Aid Main Member *

Medical Aid Number *

Do you need to take any medication? *

Yes
No

If you selected yes in the previous quesiton, please specify

• Do you have any medical condition/allergies that we need to know about? *

Yes
No

If you selected yes in the previous quesiton, please specify

Shirt Size (Please refer to Clothing Size chart on the Information Page) *

Pants Size (Please refer to Clothing Size chart on the Information Page) *

Player Number *

(subject to availability; only 2 digits)

Player Profile *

Player Experience *

School
Club
National Age Groups

Umpire Qualifications

Level 1
Level 2
Level 3

Coaching Qualifications

Level 1
Level 2
Level 3

Previous APS Tournament Paricipation *

Yes
No

Code of Conduct *

I have read and understand the Code of Conduct

1. PAYMENT OF TOURNAMENT FEES:
1.1. In my capacity as parent I undertake to pay the registration fee for the tournament which is N$500 for non APS Cricket School players and N$250 for the APS Cricket School registered members.
1.2. In the event that a parent fails to pay the registration fee in advance, the child will not be allowed to take part in the tournament.

2. IMDEMNITY AND RELEASE:
I acknowledge:
2.1 That there are inherent risks associated with the activities which may result in personal injury in a serious manner. I fully accept and agree to bear those risks.
2.2 To the full extent permitted by law, I absolve, indemnify, release and discharge The APS Cricket (Pty) Ltd, its officers, employees, coaches, directors, shareholders, representatives (“Indemnities”) from any and all liability for any injury, loss, cost, charge, expense or damage suffered by my child or however caused, arising from or incurred directly or indirectly as a result of my or my child’s participation in the activities training and any service provided by APS Cricket, including without limitation as a result of any act, default, omission or negligence of the Indemnities.

3. ACKNOWLEDGEMENT / CONSENT
3.1 I have read, understood, acknowledge and agree to all the matters referred to in the statement, including the warning, release and indemnity.
3.2 I hereby give consent for any photographs/electronic media (eg video) of myself/my child to be published by The APS Cricket Club Pty Ltd, for the purpose of marketing, newsletters, publications or other cricket-related business.
3.3 I hereby give permission for my contact and emergency details to be provided to the Coach and Manager.

4. GENERAL
4.1. Create a fun and enjoyable environment on game days.
4.2. Be a role model for your child. Remember children learn by example.
4.3. Support and encourage all players including the players of the opposition team. Never mock or ridicule the efforts of the players in either your or the opposition team.
4.4. Support, encourage, respect and never criticise the umpires.
4.5. Show your appreciation and respect the efforts of the volunteers, the coach, assistant coaches, manager, parent, helpers, umpires and club officials.
4.5 Support the efforts to remove verbal and physical abuse from sporting activities. Bad behaviour and inappropriate actions will not be tolerated.
4.6 Players must be reminded that smoking and the consumption of alcohol is strictly prohibited at the grounds.
4.7 The parent shall ensure that his/her child is properly protected by wearing the correct cricket gear and clothing.

5. PERSONAL PROPERTY
All of the child’s personal property is your own responsibility. If anything is missing when your child leaves please let us know about it immediately and state the name of the coach than ran the cricket match. Expensive and treasured items such as jewellery, friendship bands, CD players, mp3 players, mobile phones, designer clothes/shoes/trainers etc should not be brought to cricket coaching session or matches as they are often unnecessary and inappropriate. During all activity, jewellery and other similar items may not be worn; the player will not be permitted to take part unless those items are removed. Users will make use of the facilities of Wanderers Cricket Fields at their own risk including the security of any keys used. It is recommended that all items brought to cricket matches are clearly marked with the player’s name.

6. INCOMPATIBILITY
We reserve the right to exclude or refuse any player at any time, prior to and during the league if, in our opinion, that player is incompatible with the general well-being of the cricket match e.g bullying, disruptive or aggressive behaviour. Players who have fallen ill prior to a tournament match should not be brought or attend so that infection is restricted. Cricket coaches reserves the right to exclude any player for this reason.

Tournament Dates & Duration *

I have read and commit myself to the following dates

- Umpire course 12&13 August 2019
- Tournament 14-18 August 2019

Name *

First

Last

Indemnity *

I Understand and Agree

I, Name and Last Name stated above, do hereby give my consent for my child to take part in a APS Cricket (Pty) Ltd u15,17,19 tournament in Windhoek 14-18 August 2019 .
I hereby, on behalf of myself, my spouse, my executors and child, indemnify and absolve Cricket Namibia and APS Cricket (Pty) Ltd, and its accompanying staff and authorised assistance, including parents, coaches, clinic facilitators and designated drivers, against any or all claims of whatsoever nature that may arise in connection with loss or damage to the property of my child or injury to my child in the course of the tournament.
Cricket Namibia and APS Cricket (Pty) Ltd will, nevertheless, take all necessary precautions for the safety and welfare of my child.

Tournament Registration Fee (N$250 for Academy Members and N$500 for non-Academy Members)

I understand my registration is only final once payment is received and my registration fee is NON-REFUNDABLE

Kindly use the following Bank Details to pay your registration fee:
APS Cricket Pty Ltd
FNB Walvis Bay
Account Number: 62268219097
Branch Code: 282172
Ref: E.G Ruan Steenkamp BBCT

Please email the proof of payment to adv@iway.na