Cricket – MMTQ

Name *

Gender *

Date of Birth *

Ethnicity *

School

Prefer not to say

Emergency Number *

Special Requirements Yes No

Please state if you wish to highlight any special requirements ahead of completing your booking. By providing this information you consent to this being shared with the providers of the session.

*

Please provide details of special requirements

Does the participant have any physical or mental health conditions or illnesses that have lasted or are expected to last 12 months or more? * Yes No

Does this disability or illness affect your child in any of the following areas: *

Please Choose a Shirt Name for your child (FREE) *

Size	Age	A: Chest	B: Length
6 (S)	4–6	40.5 cm / 15.94 inch	52.8 cm / 20.78 inch
8 (M)	6–8	42.6 cm / 16.77 inch	58 cm / 22.83 inch
10 (L)	8–10	45.4 cm / 17.91 inch	61.4 cm / 24.17 inch
12 (XL)	10–11	46.5 cm / 18.30 inch	67 cm / 26.37 inch
14 (2XL)	11	50 cm / 19.68 inch	70 cm / 27.55 inch

Shirt Size *

Shirt Number *

Bat	A - Bat size	B - Bat length	C - Handle length	Age	Child height
Size 1	59cm	43.5cm	15.5cm	4–5	3ft 11in – 4ft 1in
Size 2	65cm	44cm	21cm	5–6	4ft 1in – 4ft 3in
Size 3	72cm	48cm	24cm	7–8	Taller than 4ft 6in

Bat Size *

I confirm I am the Parent or Guardian of this player, or have the permission of the Parent or Guardian to book on behalf of this player. * Yes

In order to make a booking you must be 18 years old; be the parent or guardian of the player under 18 years old, or have permission from the parent or guardian of the player.