WITNEY RUGBY FOOTBALL CLUB

Document Sample
WITNEY RUGBY FOOTBALL CLUB Powered By Docstoc
					                                  WITNEY RUGBY FOOTBALL CLUB
                                     MINI AND JUNIOR SECTION
                                       Youth Registration Form


                                                         Please complete form in Capitals
                           PLAYER DETAILS                                                       RFU No
First Name                                                                           Surname
Date of Birth                                                                        Age Group                                  Under
Details of All Known
Medical Conditions
Medication Taken


                                                 PARENT / GUARDIAN DETAILS
        I / We give my / our permission for the above named player to train / play for Witney Rugby Football Club.
First name:                                                                       Surname:
Address:
                                                                                                                Post Code:
Tel: (Home)                                                                 Tel: (Mob)
Email Address
Parent / Guardian                                                        Tel:                                        Tel:
(2) Name                                                                 (Home)                                      (Mob) :
                              I declare that the above information is correct. In signing this form I agree that the above named player can be bound by the
                              laws and resolutions of the RFU and its Constituent Bodies and the rules of Witney Rugby Football Club.
                              I also agree to participate in my Childs’ age group match management duties.
Signature of Parent
or Guardian




                                                               SCHOOL DETAILS
Name of School                                                                    Name of PE Teacher


                                                             MEMBERSHIP COST
                                                                                                  th
  Wolves              U7-U8             U9-U12           U13-Colts           Cherubs            4 Child            Post Xmas           Total
                                                                                                                                                        £
   £45                 £45               £55               £65                 £65               Free                 £30              Cost
      MEMBERSHIP FEES MUST BE PAID BEFORE PLAYING IN ANY GAME, LEAGUE, FRIENDLY OR TOURNAMENT
For all NEW PLAYERS and PLAYERS REACHING JUNIOR STATUS (U13) 2 recent passport size photos with the players’ name
                 on the reverse of each photo is required along with a completed RFU Registration Form.
                                                MEMBERSHIP FEE IS NON REFUNDABLE
                                          Please make cheques payable to Witney Rugby Football Club
Data Protection Act. The information contained above will be held for registration and membership purposes only, and will not be made available to any person outside
the RFU without prior consent. You may request to see any personal information stored on a computer.

                      I confirm that I have received and read the Mini and Junior Handbook
                                Please return the completed form to the Mini and Junior Membership Secretary
                               Simon Burnell :- Sunny View, 9 Witney Lane, Leafield, Witney, OXON OX29 9PS
                                                      Or hand to your Age Group Rep.

OFFICIAL USE ONLY

        CHEQUE                             CASH                             RFU FORM                             PHOTOS                    DATE PROCESSED




MJ001                                                                                                                                    ISSUE 9.0 110605

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:6/17/2012
language:English
pages:1