20260119 - Young Leaders in Cricket

Please complete and submit this form to register for the 2026 Young Leaders in Cricket programme.

All fields are required.

Total £75.00

Young Leaders Region

Club/School/Organisation (Berkshire)

Club/School/Organisation (Bexley)

Club/School/Organisation (Bromley)

Club/School/Organisation (Buckinghamshire)

Club/School/Organisation (Cambridgeshire)

Club/School/Organisation (Cricket East, Bedfordshire, Hunts)

Club/School/Organisation (Essex)

Club/School/Organisation (Greenwich)

Club/School/Organisation (Hertfordshire)

Club/School/Organisation (Kent)

Club/School/Organisation (Lewisham)

Club/School/Organisation (Lincolnshire)

Club/School/Organisation (Middlesex)

Club/School/Organisation (Norfolk)

Club/School/Organisation (Oxfordshire)

Club/School/Organisation (Suffolk)

Club/School/Organisation (Surrey)

Club/School/Organisation (Sussex)

Club/School/Organisation (Worcestershire)

Cricket Club or nominating body (School or other)

Other Cricket Club or School

Your Child's Name

Gender

Ethnicity (If you're unsure what to choose you can see the definition on the UK Census website)

Date of Birth

School
School Year

Parent/Guardian Information
Parent/Guardian email
Parent/Guardian Home Telephone Number
Parent/Guardian Mobile Number

Emergency Contact
Emergency Contact Number

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities’.

Do you consider your Young Leader to have a disability?

Further Support Required

Medical Conditions (including details of any recognised disability)
Emergency Medical Considerations (including details of any further support required)

Legal Authority to ConsentYesNo

Consent to ParticipateYesNo

Medical Consent: TreatmentYesNo

Medical Consent: DeclarationYesNo

Consent for PhotographyYesNo

Accuracy of InformationYesNo

Discount Code

Thanks for entering your discount code. Your club will pay the registration fee.

I agree to the Young Leaders in Cricket Pledge

I agree to be added to the Spond platform for booking modules and ongoing communications about the programme.

Add a Young Leaders Polo Shirt? (+£40.00)

Total £75.00

Please check the details are correct - especially your email address - then verify and click "Submit"

When you’ve completed and submitted the form above, please make payment by bank transfer to:

Account: Cricket Leaders CIC
Sort Code: 60-07-37
Account Number: 49408941
Payment reference: Please use your leader’s name as a reference.