Membership Application Membership form 2026 Are you a New/Existing member: New member Existing member First Name *Last Name *Date of Birth *E-mail *Cell Phone # *Home Phone #Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePlayer AvailabilityWhat type of membership are you applying for? *Membership typeMen's Senior Playing Membership (Year 21+) ~ $120 Games + $10 (ball fees for 2 Internal Leagues) + Club Jersey $30 (DCCC Club Jersey - T-shirt only)Men's Junior Playing Membership (Years 13+ to 21) - $100 + Club Jersey $25 (t-shirt only)Women's Playing Membership (Year 21+) - $100 + Club Jersey $30 (t-shirt only)Social Membership (Year 21+) - $75Family Membership (Year 21+) - $150Life Membership (Playing or Social) (Year 21+) - $500 Men's Senior - For anyone wishing to play in our competitive/casual senior teams. Men's Junior - For anyone wishing to play in our competitive/casualjunior teams. Women's - Our ladies cricket section is growing year on year. Ifyou’re interested on playing ladies cricket. Social - Perfect for neighbours, regular visitorsand those wishing to support the club. Family - Our family membership covers twoadults and any of their non-cricket playingchildren. (Note that this does not cover juniorplaying memberships). Life – Perfect for players, neighbors, regularvisitors and those wishing to support the club for lifetime Player Specialty *BatsmanBowlerWicket keeper/BatsmanEmergency ContactFirst Name *Relationship *Phone # *Medical HistoryDoes the player have any existing medical condition that may be relevant?Waiver and Release of Liability, Code of ConductHow did you hear about us? *How did you hear about us?Club Official websiteClub CricClubs webpageDigital Ad (e.g., Google, Facebook, Instagram)Guest at the ClubAttended an eventReferred by a memberOtherWaiver checkbox *I have read the WaiverCode of conduct checkbox *I have read the Code of ConductConsent for photo *I consent to the club using photos of the members as described in the club's photo usage guidelines. Giving this consent is voluntary, and I can withdraw the consent anytime by contacting the club.Consent for email *I agree to receive email from the Cricket ClubPlayer/Parent ConsentDCCC By laws *I hereby signify my willingness for the above mentioned player to play with the Club and to accept the conditions and rules pursuant to the Bylaws of Durham Champions Cricket Club Payment Method* We request you to please fill the application and pay the membership fees in full amount under 5 business days by Interac e-Transfer (email transfer) to durhamchampionscc@gmail.com. If you have any questions related to membership, please contact Amit P Majumdar (Membership Coordinator) by email at durhamchampionscc@gmail.com or Phone/Text at +1(437) 450-3222 (DCCC)/+1(647) 704-4182 (Amit P.)SubmitPlease do not fill in this field. Membership ID/SN# *0 / 6First Name *Last Name *Date of birth *E-mail *Player AvailabilityWhat type of membership are you applying for? *Membership typeMen's Senior Playing Membership (Year 21+) ~ $120 Games + $10 (ball fees for 2 Internal Leagues) + Club Jersey $30 (DCCC Club Jersey - T-shirt only)Men's Junior Playing Membership (Years 13+ to 21) - $100 + Club Jersey $25 (t-shirt only)Women's Playing Membership (Year 21+) - $100 + Club Jersey $30 (t-shirt only)Social Membership (Year 21+) - $75Family Membership (Year 21+) - $150Life Membership (Playing or Social) (Year 21+) - $500 Men's Senior - For anyone wishing to play in our competitive/casual senior teams. Men's Junior - For anyone wishing to play in our competitive/casualjunior teams. Women's - Our ladies cricket section is growing year on year. Ifyou’re interested on playing ladies cricket. Social - Perfect for neighbours, regular visitorsand those wishing to support the club. Family - Our family membership covers twoadults and any of their non-cricket playingchildren. (Note that this does not cover juniorplaying memberships). Life – Perfect for players, neighbors, regularvisitors and those wishing to support the club for lifetime Does the player have any existing medical condition that may be relevant?Waiver and Release of Liability, Code of ConductHow did you hear about us? *How did you hear about us?Club Official websiteClub CricClubs webpageDigital Ad (e.g., Google, Facebook, Instagram)Guest at the ClubAttended an eventReferred by a memberOtherWaiver checkbox *I have read the WaiverCode of conduct checkbox *I have read the Code of ConductConsent for photo *I consent to the club using photos of the members as described in the club's photo usage guidelines. Giving this consent is voluntary, and I can withdraw the consent anytime by contacting the club.Consent for email *I agree to receive email from the Cricket ClubPlayer/Parent ConsentDCCC By laws *I hereby signify my willingness for the above mentioned player to play with the Club and to accept the conditions and rules pursuant to the Bylaws of Durham Champions Cricket Club Payment Method* We request you to please fill the application and pay the membership fees in full amount under 5 business days by Interac e-Transfer (email transfer) to durhamchampionscc@gmail.com. If you have any questions related to membership, please contact Amit P Majumdar (Membership Coordinator) by email at durhamchampionscc@gmail.com or Phone/Text at +1(437) 450-3222 (DCCC)/+1(647) 704-4182 (Amit P.)SubmitPlease do not fill in this field. You can find us at Facebook Instagram Twitter
