ࡱ> *,)7 pbjbjUU .7|7|mlpppp ,:DDDDD###$ d####O ppDDO O O #p8DDO #O VO  D8 +V|,?4  0: tst O ppppWESTON RUGBY CLUB (FAT BOYS) Membership Form 2011 2012 MembershipAmountPlease TickDate PaidPlaying Membership 40Non Playing Member 20 CONTACT DETAILSName:Address: Telephone No: Mobile:Email: Occupation:Next of Kin: Address: Phone No:Previous Rugby Experience (if any) Position Played: Important Information: I am aware that rugby is a contact sport and understand that personal injury may occur, I also understand that Weston Rugby Club will not accept any liability for any injuries whilst playing rugby or training. In signing this form I agree that the above named member will be bound by the rules and codes of conduct of Weston Rugby Club. Signed: Date: Please note although the club is a member of and insured with the RFU, this only covers serious injury and fatality, we therefore advise you to seek your own personal insurance cover for any loss of earnings that may occur due to injury. Please return this form to Darren Adams Club Secretary, The Hollies, Fore Street, Weston. Tel: 01462 790136. :;cd~67mZ pCJ5\CJ B* phCJ$ B*CJ$ph B*ph :;FMYcd\l$$Ifl\0r  Bl064 la $$Ifa$$a$ modw|}~_l_$$Ifl\0r  Bl064 la $$Ifa$$If <,X$$Ifl J!064 la$IfZ$$Ifl J!064 la$If$a$",67Z[\mn$4X$$Ifl J!064 la$IfnoYZ mnop$a$,1h. A!"#n$6%  i8@8 NormalCJ_HaJmH sH tH 0@0 Heading 1$@&CJ@@@ Heading 2$$@&a$ B*CJ$ph<A@< Default Paragraph Font(>@( Title$a$CJ$,B`, Body Text5\pp:;FMYcdw|}~",67Z[\mnoYZ q0000000000000000000000000000000000000000000000000000 00000000pdnp o 8@0(  B S  ?p mq RXmq33EEvv@AFGP]efllY  lmmnqDarrenRC:\Users\Darren\Application Data\Microsoft\Word\AutoRecovery save of Document1.asdDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.docDarren:C:\Users\Darren\Documents\WESTON RUGBY CLUB Membership.doc;FMYcdw|}~67mnq@   p@@UnknownG:Ax Times New Roman5Symbol3& :Cx Arial"h@&w&4!n20d{2WESTON RUGBY CLUBDarrenDarrenOh+'0t  0 < HT\dlWESTON RUGBY CLUBdESTDarrenRarrarrNormalRDarrenR7rrMicrosoft Word 9.0@8C@A߆|@5|՜.+,0 hp|  N{ WESTON RUGBY CLUB Title  "#$%&'(+Root Entry FNX|-1TabletWordDocument.SummaryInformation(DocumentSummaryInformation8!CompObjjObjectPoolNX|NX|  FMicrosoft Word Document MSWordDocWord.Document.89q