East Brunswick Cricket Club Registration Form – East Brunswick Cricket Club

Note: Coaching/practice will be done using a tennis ball

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Primary Phone *

Parent/Guardian Secondary Phone

Street Address *

City *

State *

Zip Code *

How did you hear about us *

Are you interested in volunteering with the club? *

Child/Player's Name *

First

Last

Child/Player's Date of Birth *

The age of the Player must be between 7-17 years

Gender *

Child/Player Phone

Child/Player Experience Level *

Child/Player Goal *

What is the goal for the child from this experience

Child/Player Jersey Size *

For future use after enrollment

Child/Player Registration Fee *

Price: $225.00

Please enter a discount code if you have one

Amount to be charged *

$0.00

Payment Details *

Card

Name on Card

Payment secured by Square.

Permission & Agreement *

All parents must sign the waiver before starting the program.

By completing this form, I agree to terms and conditions of East Brunswick Cricket Club.

If you wish to register another child/player, please fill out a separate form.