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MITCHELL PARK CRICKET CLUB AND ADELAIDE AND SUBURBAN CRICKET ASSOCIATION PLAYER REGISTRATION FORM
 
I, the undersigned prospective player seek registration with the Adelaide and Suburban Cricket Association to play cricket, on a  permanent basis with the Mitchell Park Cricket Club. I offer the following information for Registration Purposes. I understand that my personal information will be kept and maintained by the Mitchel Park Cricket Club and may be divulged on an occasional basis to parties associated with the Adelaide and Suburban Cricket Association and the Mitchell Park Cricket Club relative to issues associated with cricket and its administration.
 
FULL NAME:
 
 
Age:
 
 
D.O.B:
 
 
Address:
 
 
Phone:
 
 
Email:
 
 
Previous Club:
 
 
Previous Competition:
 
 
MPCC Issued Rego. Number:
 
 
Signature of player: