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ECB Umpiring Course - Shropshire

Personal Information

Fill out the information below, then click Next to continue.

* First name

* Last name

Important

Please make sure that the email address you supply is not associated with another user in Play-Cricket or the ECB Elearning site otherwise you may not receive the log in details for the course.

* Email address

* Re-enter Email Address

Contact Number

Home Address

* Address 1

Address 2

* Country/Region

United Kingdom

* City

* County

* Postal Code

Gender

Ethnicity

County Cricket Board

Play Cricket Club

* Emergency Contact Name

* Emergency Contact Number

* I am 18 or overThis question is required.

Yes
No

If you are under 18, parental consent is required to attend this course. Please complete the details below.

I consent for my child to attend this course.

Parent/Guardian Name

Parent/Guardian Contact Number

Parent/Guardian Email Address

Other information (accessibility/Disability/allergy etc.)

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