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JuniorMembership2012 - Thorp Arch& Boston Spa Cricket...

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Unformatted text preview: Thorp Arch & Boston Spa Cricket Club 2012 Junior Membership Registration / Renewal Please send this completed renewal form together with a cheque made payable to ‘TABS CC’ to our Junior Secretary: Karen Price 12 Fern Way, Scarcroft, LEEDS, LS14 3JJ Please also complete the Gift Aid Declaration at the foot of the page Please register / renew the following Junior member/(s) for TABS CC for the 2012 season: Child’s Full Name DOB Forenames of Parents / Guardians: Post code: Contact email address: Phone contacts: Home Mobile Amounts Payable for 2012: New Member Joining Fee ‐ £20 | Junior Member – First Child ‐ £90 | Sibling Member ‐ £75 Third & subsequent child ‐ FREE ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ I enclose my cheque for £______ made payable to ‘TABS CC’ as my donation to the club for 2012 Please tick to confirm the following in relation to your membership registration / renewal: I/we understand that the Club is not liable for any loss, damage or injury caused to or by a member whilst taking part in club activities or whilst on club premises. By registering / renewing the memberships of the above players with TABS CC, I/we commit to adhering to the Club’s Code of Conduct (see www.tabscricketclub.co.uk for the latest version). The Code of Conduct deals with issues relating to photography, spectating, medical treatment during games, participation in senior cricket, mandatory use of protective equipment and transportation to and from games. I/we agree to notify the Club of any changes required to existing details held by the Club of medical conditions of these members. (please use the form overleaf to provide changes now) I/we are aware of the role of the Club's Child Welfare Officer (Kate Riley) and will contact her in the first instance in relation to any issues arising connected to child welfare at the Club. Data Protection: I/we understand and agree that the club will use this information on this form and other information about the player to administer cricket activities at the club and that in some cases this may require the club to disclose the information to Leagues, County Boards and the ECB. In the event of a medical issue or child protection issue the Club may disclose information to the relevant authorities ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ IMPORTANT: PLEASE COMPLETE THIS GIFT AID DECLARATION This declaration benefits the Club considerably and does not affect your tax position. Name of Community Amateur Sports Club (CASC) – TABS Cricket Club Please tick: Please treat an appropriate element of the payments I make to TABS Cricket Club to be treated as Gift Aid Donations (from the date of this declaration until I notify otherwise) including those that I have made in the past 6 years. Notes: You must pay an amount of income tax and/or capital gains tax in each tax year at least equal to the tax that the Community Amateur Sports Club (CASC) will claim from HM Revenue & Customs on your Gift Aid donation(s). A proportion of the payment you make to TABS CC is to cover the cost of league registrations, insurances and other minimum and essential running costs of the junior cricket section. The remaining proportion is eligible for Gift Aid and allows the Club to offer an extended range of member benefits, including professional coaching, provided that Club funds are sufficient each season. Donor’s details Title, Initial(s) & Surname: Home address: Postcode: Date: Signature: Please notify TABS Cricket Club if you: 1. Want to cancel this declaration | 2. Change your name or home address. 3. No longer pay sufficient tax on your income and/or capital gains. Tax claimed by TABS Cricket Club • TABS Cricket Club will reclaim 28p of tax on every £1 you gave up to 5 April 2008. • TABS Cricket Club will reclaim 25p of tax on every £1 you give on or after 6 April 2008. • The Government will pay TABS Cricket Club an additional 3p on every £1 you give between 6 April 2008 and 5 April 2013. This transitional relief for the CASC does not affect your personal tax Medical Information (please update as required) Yes Do your junior player(s) experience any conditions requiring medical treatment and/or medication? No If yes, please provide details: Do your junior player(s) have any allergies? If yes, please provide details: Do your junior player(s) have any specific dietary requirements? If yes, please provide details: ...
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