Open Age Consent Form

Consent Form for Open Age Cricket

Player's Name*
Age on 31st August last year

I confirm that I give my consent for the above child to play adult / open age cricket

Yes No*

I have had the opportunity to discuss their playing open age with their coach

Yes No*

I am fully aware and accept responsibility for the health and safety of the above child in open age, including but not limited to, the risk of personal injury

Yes No*

I give my consent that in an emergency situation, the Club may act in my place (loco parentis), if the need arises for the administration of emergency first aid and / or other medical treatment which may be necessary

Yes No*

I confirm that I will advise the supervising adult of any medical issues for my child before play commences

Yes No*

Form completed by :

Name :

*

Date :

*