Register Interest - Support - FairBreak Global

Personal Details

Support role/s of interest *

Coach
Manager
Umpire
Physiotherapist
Event Manager
Journalist
Photographer / Videographer
Website / Media Curator
Graphic Artist
Other Specialist Role/s - enter details

Select no more than 3 roles relevant to your skills. We will not process submissions from website or app developers.

Other specialist role/s *

Please identify any alternate specialist role you can contribute to.

Name *

First

Last

Preferred Name / Nickname (optional)

Email *

Confirm Email

Age *

Please enter your age in years.

Date of birth *//

Mobile phone number *

Please enter correct country code

Country/Region *

Please select correct country

City *

Please enter your city or town of residence.

Postal code *

Highest education *

Please select your highest level of education.

University or other professional qualification/s *

Cricket coach qualifications *

Umpire qualifications *

Preferred language

Facebook username

Instagram username

Twitter username

Cricket Support Experience

Current or Most Recent Club / Teams *

Years supporting cricket and brief summary of experience and achievements *

Manager - do you have a personal manager? *

Please identify if you have a Manager.

Manager name *

Manager email *

Goals and Interest in FairBreak

What are your goals in supporting cricket? *

Why do you want to be involved with FairBreak? *

How did you learn about FairBreak? *

What could be better for women's cricket in your region?

Your opinion is optional and will be kept confidential but may assist with FairBreak's ongoing research and programs.

Consent to contact

FairBreak Global is committed to respecting your privacy and will only use personal information to administer your response and details to provide its products and services as requested from us. From time to time, we will either need to or would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please select the checkbox below. You can unsubscribe from these communications at any time although of course you may then miss out on information about FairBreak opportunities. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

Privacy Policy

Contact consent *

I agree to receive other communications from FairBreak Global

Consent to data storage

In order to provide any content requested or to permit us to contact you, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please select the checkbox below.

Data storage consent *

I agree to allow FairBreak Global to store and process my personal data.

Register Interest as a FairBreak Support Person

Personal Details

Cricket Support Experience

Goals and Interest in FairBreak

Consent to contact

Consent to data storage