South Burnett Girls Cricket Carnival Question Title * 1. Participant name OK Question Title * 2. Participant DOB DD/MM/YYYY Date OK Question Title * 3. What is the participants current cricket experience? Currently playing junior club cricket Currently participating in a Cricket Blast program Has played at school/home This is the participants first time playing cricket Additional Comments OK Question Title * 4. Parent/Guardian Name OK Question Title * 5. Parent/Guardian Phone Number (emergency contact) OK Question Title * 6. Parent/Guardian Email Address OK Question Title * 7. Does your child have an illness or allergy for which medication is required? If yes, please specify OK Question Title * 8. PHOTO RELEASEI hereby grant permission for Queensland Cricket to use photographs and/or video of the participant taken on the day in online posts, and in other communications related to increasing girls cricket participation. Yes No OK DONE