Manly Breakers Cricket Club Inc.

     P.O. Box 357, Brookvale NSW 2100

Est. 2000

Manly Breakers Cricket Club Inc
Player Registration form

 Register with Manly Breakers:
Complete all details in form below. Click "Click to Register on-line!" to register on-line. One of our club members will contact you soon.
Print form below. Mail to The Secretary, Manly Breakers Cricket Club Incorporated,
P.O. Box 357, Brookvale NSW 2100

Player Contact Details
Name:
Date of Birth:
Address:
Phone: (Home   (Work
(Mobile
E-mail:
Medical Conditions*: (Asthma, Allergies etc.)
Emergency Contact Name*
Emergency Contact Number*
Shirt Size: Other size:
Shirt Sleve:
Shirt Type (existing players only):
Playing Status:
Playing Background (New Players to complete)
Previous Cricket Club, Season, Association & Grade:
Briefly detail your cricket background and skills:
(Batting, Bowling, Wicketkeeper etc.)
Player Favourites (Optional, for on-line profile)
Favourite Band &/or Song:
Favourite Movie:
Favourite TV Show:
Favourite Book:
Favourite Food:
Favourite Drink:
Heroes: (people you admire most – sport, entertainers, family etc.)
Partners Name:
Your Nickname:
Any other comments, questions?
Fees are payable upon registration. Click here for 2009/10 fees

I hereby agree to play and abide by the Laws of Cricket, the Constitutional Laws and Player Code of Conduct of the Manly Breakers Cricket Club, Manly Warringah Cricket Association, Cricket NSW and Cricket Australia.



Players Signature:                                                           Date:                             

MBCC: Online Player Registration Form