Parent Name & Surname							 
														
								
												
								Parent Email							 
														
								
												
								Parent Tel							 
								
								
					Alternate/ICE Contact Person 
								
												
								Alternate Contact Person's Name and Surname							 
														
								
												
								Alternate Contact Number							 
														
								
												
								Child's Relationship to Alternate Contact Person							 
										
								
					Cricketer information 
								
												
								Cricketer Full Name							 
														
								
												
								Cricketer Preferred Name							 
														
								
												
								Cricketer Date of Birth							 
						
		
								
												
								Cricketer's Identity Number or Passport Number for Non-Residents							 
														
								
					Please select the team age category your child wants to join 
								
								
												
								Which school does your child attend							 
														
								
					Child's gender 
								
								
												
								Does your child have any allergies or medical conditions that the Club should be aware of?							 
										
								
					Medical Aid Information 
								
												
								Medical Aid Name							 
														
								
												
								Medical Aid Option							 
														
								
												
								Medical Aid Number							 
														
								
												
								Main Member Name and ID number							 
														
								
					Fees 
								
					Do you as parent agree to make payment of this fee for all matches that your child will be selected for? 				
								
								
					In the event that you would like to make an additional financial contribution towards club expenditure or enter into a sponsorship agreement with the club, please indicate so below. One of our Executive Committee members will then contact you to discuss your contribution. 
								
								
					Cricketer Indemnity 
I, the above named Parent/Guardian of the above-mentioned Cricketer:
fully understands and accepts that the playing and training of cricket at any Zoo Lake Cricket Club (“the Club”) coaching sessions or coaching festivals or matches (collectively “Cricket Performances”) is a high risk sporting activity. As such I the Parent/Guardian of the above-mentioned Cricketer, fully indemnify the Club as well as their coaches, employees, consultants or league organisers as a whole from and against any claims, demands, losses, costs, damages, action, suits or proceedings (including any attorney or legal fees) arising out of or resulting from injury during any Cricket Performance or any other Club activity participated in by the Cricketer from time to time. This indemnity includes and is also attributable to any bodily injury, sickness disease, disability, death, or any damage to tangible property. 
consent that the Club can send the documents and information as provided to the Club by me to any third party to enable the Club to conduct its service offering in relation to the Cricketer;  
 
With the below acceptance check box, I the undersigned Parent/Guardian fully subscribe and agree to the above and in relation to the Cricketer.				
 
								
					Protection of Personal Information 
Zoo Lake Cricket Club is regarded as a responsible party as defined in the Protection of Personal Information Act, 4 of 2013 (POPIA) and accordingly collects and processes your and your child's Personal Information (the "Personal Information").
In accordance with the provisions of the POPIA you hereby consent to the collection and processing of your and your child's Personal Information by ZLCC.
In addition to consenting to the collection of your the Personal Information as discussed above, you further acknowledge that processing of the Personal Information may also occur in situations where processing:
is required by law or is necessary for a legitimate purpose; 
is required to fulfil obligations imposed by a contract to which a ZLCC member may  
be a party and/or will protect your or your child's interests. 
 
You further acknowledge that the Personal Informatoin may be collected and preocessed for a variety of processes including but not limited to:
the accreditation and provisions of affiliations 
registration of members with the club and other affiliated bodies 
the provision of various member and affiliate related services 
stakeholder relations management 
 
You also consent to thereto that the club can keep the documents and information as mentioned above at the Club's offices, store it on the Club's server and keep it for as long as the Club needs to in terms of the Laws of the Republich of South Africa as long as the Club takes all reasonable steps to safeguard Personal Information and documentation and to destroy it when the Cricketer ceases to be a member of the Club.				
 
								
					Parent Confirmation Checkbox 
								
								
					
								
								
					
						
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