Individual Membership – Pembroke Cricket Club

Individual Membership Form

Fill out all the required fields below. Your application will be sent to the Executive Committee where it will be assessed before approval. Upon approval the Committee will contact you with next steps.
Fields marked with an asterisk must be filled out.

THIS SECTION MUST BE COMPLETED IN FULL

First Name*

Surname*

Membership Type*

Postal Address*

Email Address*

Phone Number*

Date of Birth*

Eligibility (You must have one of the following)*

Please Tick
I will be able to provide proof for the above when asked.

Fill in any appropriate fields here:

Previous Clubs

Previous Experience

Playing ability (tick where appropriate)
BatsmanBowlerWicketkeeperCoach

Known by any Current Members

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