Personal Details First Name Surname Identity Number Date Of Birth Address Suburb Postal Code Contact Number WhatsApp Number Email Address Emergency Contact Emergency Contact Tel Medical Condition? Membership Option 2024/25 Season Membership Option Senior Playing Member Junior Playing Member Non-Playing Member Membership Type 2024/25 Season Membership Type New Member Membership Renewal Previous Club Club Name League -- Please Select -- Premier Division First Division A First Division B First Division C First Division D First Division A Do you have a clearance certificate? Clearance Certificate Yes No Upload your clearance certificate Playing Role Playing Role RH Top Order Batsman LH Top Order Batsman RH Middle Order Batsman LH Middle Order Batsman Allrounder Wicket Keeper RH Seam Bowler LH Seam Bowler RH Spin Bowler LH Spin Bowler Additional Information In which capacity are you willing to you assist Wynberg Cricket Club? In which capacity are you willing to assist Wynberg Cricket Club Sponsorships Fund Raisers Events Coaching Seniors Coaching Juniors Maintenance (Clubhouse, Field, Nets Pitch) Other Other Specification Agreement I hereby confirm that the information I have provided is accurate at the the date of this application and hereby apply for membership at Wyberg Cricket Club for the 2024/25 season. Code of Conduct I agree and accept the Code of Conduct of Wynberg Cricket Club. Submit
