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Join Now: Preseason Junior Training in Slough, Every Saturday!
Cricket Empowerment Company
Private Coaching Booking Form 2&3
Parent Name
Email
Parent Surname
contact number
ChoseN Session *
2:1 Session
3:1 Session
Additional Cricketer's Name:
Experience
Type of Experience
Date of Birth
Booked With:
Age:
Gender
Choose an option
CEC Private Coaching will email the payee, with available Dates & Times suitable for you, based on your preferred preferences.
How Did You Hear About Us?
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Additional Requirements or Comments
Use of Electronic Media Consent: I, the parent or legal guardian, grant permission to Cricket Empowerment Company (CEC) for the use of the electronic media images and videography as identified below in any presentation of any and all kind whatsoever. I understand that I may revoke this authorisation at any time within 14 days of booking, by notifying Cricket Empowerment Company in writing via email (info@cricketempowermentcompany.com).
Emergency Medical Consent: I, the parent or legal guardian, would like to provide another entity or individual limited consent to obtain and carry out medical care for my child.
Consent to Contact: I, the parent or legal guardian, agree that Cricket Empowerment Company (CEC) may contact you by telephone (including cell phones), fax, email or other internet facilities, with respect to CEC and other offerings we may make available in the future. Voice and data rates may apply.
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