Register Your Team – Emporia Cricket League

A. Team & Captain DetailsAll fields marked * are required

Captain Name

Community Name

Contact Number

Alternate Contact

Email Address

Team Name (if different)

Residential Address

B. Player Roster — Players 1 to 14Tick “Same community” only after confirming the player currently resides in the community named in Section A

Player 1

Player 1 — Full Name

Player 1 — Residential Address

Player 1 — Contact Number

Player 1 — Age

Player 1 — Same Community?

Yes — resides in the community named in Section A

Player 2

Player 2 — Full Name

Player 2 — Residential Address

Player 2 — Contact Number

Player 2 — Age

Player 2 — Same Community?

Yes — resides in the community named in Section A

Player 3

Player 3 — Full Name

Player 3 — Residential Address

Player 3 — Contact Number

Player 3 — Age

Player 3 — Same Community?

Yes — resides in the community named in Section A

Player 4

Player 4 — Full Name

Player 4 — Residential Address

Player 4 — Contact Number

Player 4 — Age

Player 4 — Same Community?

Yes — resides in the community named in Section A

Player 5

Player 5 — Full Name

Player 5 — Residential Address

Player 5 — Contact Number

Player 5 — Age

Player 5 — Same Community?

Yes — resides in the community named in Section A

Player 6

Player 6 — Full Name

Player 6 — Residential Address

Player 6 — Contact Number

Player 6 — Age

Player 6 — Same Community?

Yes — resides in the community named in Section A

Player 7

Player 7 — Full Name

Player 7 — Residential Address

Player 7 — Contact Number

Player 7 — Age

Player 7 — Same Community?

Yes — resides in the community named in Section A

Player 8

Player 8 — Full Name

Player 8 — Residential Address

Player 8 — Contact Number

Player 8 — Age

Player 8 — Same Community?

Yes — resides in the community named in Section A

Player 9

Player 9 — Full Name

Player 9 — Residential Address

Player 9 — Contact Number

Player 9 — Age

Player 9 — Same Community?

Yes — resides in the community named in Section A

Player 10

Player 10 — Full Name

Player 10 — Residential Address

Player 10 — Contact Number

Player 10 — Age

Player 10 — Same Community?

Yes — resides in the community named in Section A

Player 11

Player 11 — Full Name

Player 11 — Residential Address

Player 11 — Contact Number

Player 11 — Age

Player 11 — Same Community?

Yes — resides in the community named in Section A

Player 12

Player 12 — Full Name

Player 12 — Residential Address

Player 12 — Contact Number

Player 12 — Age

Player 12 — Same Community?

Yes — resides in the community named in Section A

Player 13

Player 13 — Full Name

Player 13 — Residential Address

Player 13 — Contact Number

Player 13 — Age

Player 13 — Same Community?

Yes — resides in the community named in Section A

Player 14

Player 14 — Full Name

Player 14 — Residential Address

Player 14 — Contact Number

Player 14 — Age

Player 14 — Same Community?

Yes — resides in the community named in Section A

C. Terms, Confirmation & Declaration

I confirm that all information provided in this registration form is true, complete and correct.
I confirm that the captain and every player listed above are current residents of the community named in this application.
If our team is shortlisted or selected, we agree to provide acceptable proof of residency for the captain and every listed player upon request.
I understand that inaccurate information or failure to provide proof may result in rejection of the application or disqualification of the team.

Declaration

YES — I have read, understood and agree to the above declaration.

Captain's Full Name

Captain's Signature (type full name)

Date

Team Registration Form

Emporia Community Cricket League 2026

Complete your team registration

Proof of residency

14 players per squad

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One community. One champion.