School Year

Emergency Contact Numbers

Please make the NEEYPG aware of any daily medication needs

Please make the NEEYPG aware of any physical or sensory needs

Please make the NEEYPG aware of any cultural or religious needs

I have read and understood the NEEYPG young cricketers code of conduct and will adhere to all of its key principles

In an emergency situation the NEEYPG may act in my place (loco parentis) if the need arises to administer first aid and or other medical treatment which in the opinion of a qualified medical practitioner may be necessary

The NEEYPG may take photo's and use Images for publications or event articles

Nationality

Name of School

Cricket Club