ࡱ> IKHg RbjbjVV ,<r<r<R     $.D r)))suuuuuu$")ssL[H^_0$ [$ $ L)hJ<)))y)))$ ))))))))) : West Bridgford RFC Mini & Junior Section  SHAPE \* MERGEFORMAT  Stamford Road West Bridgford Nottingham Registration/Membership Application Form for Season 2011/2012 I would like my son/daughter to take part in the mini/junior season at West Bridgford R.F.C. on Sunday mornings from 10.30 a.m. till Noon (10.30 to 11.30 for U6 only) I understand that West Bridgford R.F.C. its servants, agents or employees are not under any liability what so ever of loss of property, accidents or injuries to my son/daughter, however caused, during the course of training. REGISTRATION EVENING TUESDAY 6TH SEPT Annual subscriptions: Under 6 to 45.00 this reflects the reduced coaching time due to shorter sessions and the inability to participate in matches Under 7 to under 12 60.00 - Under 13 and over 70.00 this includes the cost of match day strips and their washing. Late in season membership is 10.00 per month. Club membership is dependent on having paid the annual fee, and insurance is dependent on membership. Matches will be arranged with other clubs see enclosed fixture list check notice board for details. Ground conditions may cause training sessions/matches to be cancelled always phone the appropriate team manager if doubtful on Sunday morning to avoid wasted journeys. Coaches may arrange additional coaching sessions. All players must now be registered with the RFU and an identity card is required to play in some competitive matches. PLEASE COMPLETE IN BLOCK CAPITALS FULL NAME OF MEMBER: _______________________________________________Age group __________ DATE OF BIRTH: _____________TEL. NO.: ___________________ MOBILE NO____________________ ADDRESS: ________________________________________________________________________________ ________________________________________________________________________________ _____________________________________________POST CODE: ______________________ E.MAIL ADDRESS:__________________________________________________________________ SCHOOL: ___________________________________________ SCHOOL YEAR: _______________________ PARENT/GUARDIAN NAME: ________________________________________________________________ (Players up to and inc U 17) SIGNATURE OF PARENT/GUARDIAN: ___________________________ DATE: _____/____/_____ (Players up to and inc U 17) OPTIONAL: I give permission that photographs including the above player may be used for promotional/press purposes: SIGNATURE OF PARENT/GUARDIAN: ___________________________ DATE: _____/____/_____ If your son/daughter suffers from a relevant medical condition please give details to the appropriate team manager/coach. Please tick: I/We would like to help with catering.I/We would like to help with coaching.I/We can help with sponsorship.I am interested in becoming a V.P. member of the club (25)All members have access to the club whenever open. Office use only. Subscription / Fees paid MemberV.P.FamilyAdv. 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