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Join Now: Preseason Junior Training in Slough, Every Saturday!
Cricket Empowerment Company
Private Coaching Booking Form
Parent name
Email
Parent Surname
contact number
Cricketer's Name
Age
Gender
Choose an option
Birthday
Experience
Type of Experience
Chosen Session *
1:1 Session
2:1 Session
3:1 Session
2nd Cricketers Name
3rd Cricketers Name
Additional 2nd Cricketer(s) email
Additional 3rd Cricketer(s) email
Pl
ease
Tick Any Preferred Time Slots (
to be
confirmed
)
*Remember to include availability
during
term holida
ys*
9-11am
11-1pm
1-3pm
3-6pm
6-8pm
8-9pm
Any Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
CEC Private Coaching admin will email you with available dates & times,
suitable with your selected preferences.
How Did You Hear About Us?
Choose an option
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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