ࡱ> VXUg ?bjbjVV 8@r<r<d,Fl1@0000000$361]1l1:00 ,-p}k2L,0101,h7~h7(-h7-L6%,Q11TR1h7 : NORTH KILDARE RFC ADULT ASSOCIATE MEMBERSHIP APPLICATION FORM 2011/2012 Contact Details (The right hand column is provided for the 2nd parent/guardian contact details) Name: Name: Phone: (H/W) Phone: (H/W) Mobile: Mobile: E-Mail E-Mail Do you have any experience in first aid or as a doctor/nurse/physio etc? Terms of Membership If you wish to enter an IRFU draw for match tickets and many other prizes, tickets will be available at a cost of 10. All proceeds going to the club. We would appreciate your support. Commitment to at least one of these roles below. The club depends on your active participation as an adult club member. Your enthusiastic involvement, at whatever level you are able to commit, will ensure that the club continues to be vibrant, successful and well run. Please indicate the way in which you would wish to contribute to the club this season. Numbering roles in order of preference. Coaching Assistance _______ Managing Assistance _____ Match reporting for website/newspapers ____ Making Phone calls ______ Assiatance with refreshments at home games ___ Attending Meetings ______ Assisting with transport to games ______ Taking charge of registration cards ______ Supervising and traffic management at training _____ Other- Please Specify________________________________________________________________________________ ______________________________________________________________________________________ Declaration I have read, understand and fully accept the terms of adult membership of North Kildare Rugby Club and the commitment that it entails. Signed: (Parent/Guardian) Date: Signed: (Parent/Guardian) Date: NORTH KILDARE RFC YOUTHS MEMBERSHIP APPLICATION FORM 2011/2012 Applicant Information Name Date Of Birth: Age Group: School: Class/ Year: Parents Name: Parents Contact Number: I consent to allow photographs of my child/children to be used in the promotion of NKRFC and in the promotion of the game of Rugby. Parents Signature: Address: Medical Conditions: Terms of Player Membership Please Read Carefully At least one parent/guardian of a player must apply and become a member of the club, prior to or at the time of, that player s membership application. Membership fee of 65.00 to be paid for 1st child, 50.00 for second child and 40.00 for third and subsequent children. Family membership (for Junior Rugby) is available for a fee of 150. Players are required to regularly attend training. Players are also expected to participate in away games as well as home games It is mandatory for players to wear a properly fitting gum shield at all times, during training and matches. It is the responsibility of all players to organise their time in relation to family commitments, school work and rugby. If a player has commitment to other sports or interests, it is that players responsibility to inform their coach / manager well in advance of any clashes. It is essential for the player to inform their coach/manager as early as possible if they are unable to attend a match. 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