LYMM OUGHTRINGTON PARK CRICKET CLUB
Oughtrington Lane, Lymm, Cheshire
Chairman: Mr. P. Henbrey
2008 Registration Form
Please complete a form and return with your payment at the first practice session.
(Cheques made payable to: Lymm Oughtrington Park Cricket Club)
2008 subscription fees: 1st & 2nd X1 / Sun £65.00 £ UB40/Students £43.00 £
Please R Wednesday £25.00 £ Weds UB40/Students £20.00 £
Social Members £10.00 £ Social Family £20.00 £
Donations £________
Surname: ________________________
First name(s): ________________________
Address: ________________________ Home ' _______________
________________________ Mobile ' _______________
________________________ E Mail ___________________
Post code: ________________________
In case of emergency we require two contact numbers:
Name & contact number (1): __________________________________________________________
Name & contact number (2): __________________________________________________________
Relevant medical details (e.g. asthma, allergies, etc): _______________________________________
_________________________________________________________________________________
The club relies on the assistance of volunteers, please indicate if you would be willing to help with any of the following:
Scoring £ Coaching £ Umpiring £ Refreshments £ Fund raising £
Do you hold a current first aid certificate and would you be willing to assist if required? Y / N
2008 Match fees: 1st & 2nd X1 £9.00 UB40/Students £6.00
(Applicable to all games) Sunday £8.00 UB40/Students £6.00
Wednesday (20 overs) £3.00 UB40/Students £2.00
Signed: ______________________________________
It is recommended that playing members take out personal accident insurance.