Milnerton Cricket Club Junior Membership Application

Please use the registration form below to register as a Junior member of Milnerton Cricket Club.

First Name *

Last Name *

Gender *

Date of Birth *

Email *

Cellphone *

Phone No

ID No *

Address *

Please attach a copy of your Childs ID

Parent/Guardian/Next of Kin Information

First Name *

Last Name *

Email *

Cellphone *

Medical Aid Details

Member Name *

Member Surname *

Plan Name *

Membership Number *

Please confirm you are human!

Indemnity Confirmation * Indemnity must be read and accepted before submitting application form

I agree to the INDEMNITY

Terms and Conditions * T's and C's must be read and accepted before submitting application form

I agree to the Terms and Conditions

Theo Marais Sports Complex

Koeberg Road &, Tanzanite St, Milnerton, Cape Town

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General: Information
Club Information: Club Secretary
Chairman: Chairman
Match Secretary: Match Secretary

MCC Junior Membership Application