scyca@scycricketacademy.com
+1 (949) 742-1856, +1 (210) 488-7417
Facebook
Twitter
Youtube
Instagram
Home
About Us
Board and Committee
Coaches
Documents
Schools
Payments
News
Schedule
Locations
Calendar
Registration
Chak De SoCal Event
Contact Us
Home
About Us
Board and Committee
Coaches
Documents
Schools
Payments
News
Schedule
Locations
Calendar
Registration
Chak De SoCal Event
Contact Us
Player Registration
Please fill in the form below to enroll your child with the SCYCA.
SCYCA Registration Form
Fields marked with
*
are required.
Parent’s Name
*
First
Last
Parent’s Email
*
Telephone Number
*
Region
*
South Orange County
North Orange County
Eastvale
Yorba Linda
Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Second Parent’s Name
First
Last
Second Parent’s Email
Second Parent’s Phone
Player Details
Number of Players Want to Add?
*
One Player
Two Players
Three Players
Player’s Name
*
First
Last
Player’s Gender
*
Male
Female
Player’s Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Second Player’s Name
*
First
Last
Second Player’s Gender
*
Male
Female
Second Player’s Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Third Player’s Name
*
First
Last
Third Player’s Gender
*
Male
Female
Third Player’s Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Consent to Play
*
Consent to Play
*
I hereby give my consent for this player to participate in SCYCA practises and matches. Both the player and I are aware that participating in the sport of cricket is a potentially hazadous activity. We assume all risks associated with participation in the sport, including but not limited to falls, contact with other players, contact with the ball or other equipment, the effects of weather, traffic, and other reasonable risks conditions associated with the sport. We understand the risks and give our informed consent by checking the Consent to Play check box above.
Consent to Treatment
*
Consent to Treatment
*
I further authorize SCYCA to provide emergency treatment of any injury or illness this player may experience if qualified medical personnel consider treatment necessary and perform the treatment. This authorization is granted only the player’s parents cannot be reached and reasonable effort has been made to do so.
Your Family Doctor Name
Your Family Doctor Phone
Does This Player Have
Contact Lenses
Asthma
Epilepsy
Diabetes
Other Medical Conditions
Allergies
Medications
Release of Liability
*
Release of Liability
*
I have read and agree to terms of SCYCA’s Release of Liability.
Message
Register