New player? Looking to become a member?
Register your details with the club by filling out the online registration form below or alternatively, download the .pdf file, fill in and send back to us via email or post.
Panthers Registration Form.pdf
Do you already have a MyCricket profile?
Please ensure you update all of your details.
Player SeniorPlayer JuniorPlayer VeteranSocial Member
Date of Birth* (YYYY-MM-DD)
Emergency Contact - Parent/Guardian — Name
Emergency Contact - Parent/Guardian — Phone
Emergency Contact - Parent/Guardian — Email
Any illness or allergy for which medication is required?
If yes, please provide details
Does the participant have a physical, intellectual or sensory impairment?
Anything that can be done to assist participation
Is the participant of Aboriginal or Torres Strait Islander descent?
Is the participant from a culturally or linguistically diverse background?
Do you have any of the following certifications?
First Aid Certification
Working with Children Check
Date of Issue:
Level & Date of Issue:
We're looking for sponsors to help the club, do you know of anyone that might be interested in sponsorship opportunities?