Cluster Day Participant Information – The Waitākere Cricket Club

Western Districts 2025 Interschool Cluster Day

Participant Information Form

Participant Details

Please provide the following details for the participant

First Name

Last Name

Birthdate

School Name

School Year

Gender

Male

Female

Other

Ethnicity

Other Ethnicity

Medical Information

Parent/Guardian Details

Please provide the following details for the participant's parent or guardian.

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

While all reasonable care will be taken, the event organisers, schools, and clubs affiliated with the Auckland Cricket Association operating in our region are not liable for any injury or loss sustained during the event, except where caused by negligence.

I agree to notify organisers of any changes to health or contact details prior to the tournament.

I understand and I give permission for my child to participate in the Western Districts Interschool Cricket Cluster Day.

To ensure the safety and wellbeing of all participants:

Every child must wear a hat during the tournament.
Every child must have sunscreen applied at home or school before attending the tournament.
Every child must bring a full water bottle to stay hydrated throughout the day.

I confirm that my child will meet these sun safety and hydration requirements.

Can Waitakere Cricket Club use the details provided in this form to send you further information about free activities provided by the club, community events and junior registrations. beyond this tournament?

Yes

Date Approved