top of page

Cricketer Registration


Parent/Guardian Contact Information

Cricketer Information

General Information


Consent to Contact

You agree that we may contact you by telephone (including cell phones), facsimile, email, or other internet facilities, with respect to Cricket Empowerment Company, and other offerings we may make available in the future. Voice and
data rates may apply.

Use of Electronic Media Consent

I, the parent or legal guardian, grant permission to Cricket Empowerment Company for the use of the photograph(s) or electronic media images as identified below in any presentation of any and all kind whatsoever. I understand that I may revoke this authorization at any time by notifying Cricket Empowerment Company in writing within 7 days of the start date. The revocation will not affect any actions taken before the receipt of this written notification.

Emergency Medical Consent
I, the parent or legal guardian, would like to provide another entity or individual limited consent to obtain medical care for my child.

bottom of page