CRIEFF & STRATHEARN RUGBY
Membership Registration 2010/11
Please write neatly- in block capitals
Please circle type of membership you are applying for:
FAMILY £55 | SENIOR £45 PLAYER (OVER 18 not in fulltime education) | JUNIOR/STUDENT £25 PLAYER or NON-PLAYING SENIOR |
DOB SCHOOL
(If U18) YEAR
MEMBER’S NAME (Please include all names if family membership) | 1. 2. 3. 4. 5. 6. | | |
Name of Parent/Guardian (for U18 players) or Next of Kin (for playing adults) | |
Email (please write clearly) | |
Address Post Code | |
Telephone Contacts- in case of emergencies: HOME: MOBILE(s): | |
Medical Conditions or Allergies affecting the players(s) (Please state name of player) | |
Any other information the coaches should be aware of? | |
If you are new to the club- How did you hear about Crieff & Strathearn Rugby? | |
If you are a junior member and still at school- which school do you attend? | |
Declaration: I accept to abide by the club policies, including the junior club policy on making and use of photographic images (para 7.4) and submission of player name and date of birth to the SRU (para 8). I agree to the above email being added to the club contact list so that the club can keep me informed of all matters relating to training/fixtures as well as any social events/special offers being run by the club or it’s business partners.
Signed:……………………………………….
Name:………………………………………..
Subscription of:…………..paid on (date)……………….
Please make cheques payable to: Crieff & Strathearn RFC
This form should be returned to either:
Drew Watson (Senior Membership Convener) or
Nicola Watson (Junior Membership Convener) at the following address: INGLEWOOD, SAUCHIE ROAD, CRIEFF PH7 4EE
If you have any questions about club policy or have any questions relating to membership, please contact either Drew Watson 07899948316 or Peter Cook 07764318569