ࡱ> ?A> bjbj ., EEEEEYYY8dYg            _Z E EE  !^E E    T%YB^70g[6[[E   g[ : Melton Mowbray RFC Player Registration Form (Season 2009/10) New Registration / Re-Registration PLEASE COMPLETE ALL DETAILS Name of Player Reg No (if known) Date of Birth Second Contact No Both Parents Names & Address Tel No. (inc. Code) E-mailName of Family Doctor Tel No. of Doctor Date of Last Tetanus InjectionAny Known Allergies NHS NumberName, Address & Tel of School  As a club run by volunteers we are always in need of additional people who are willing to lend a hand. If you feel you might be able to assist in any way please complete below. Name: Job Title / Area in which you might be able to assistI/We give permission for (childs name) To be taken to hospital by any Coach or Trainer for treatment during matches/outings/training activities, if I/We are not available. I/We also give permission for a club coach or official to authorise the taking of photographs or video film of my child. Signed: (Parent or Guardian)Annual Registration fee is 35.00 COLTS This Annual Registration fee is the only payment required throughout the rugby season and in return your child will receive coaching from qualified coaches. The Registration Fee also automatically enrols parents as Associate Members of Melton Mowbray Rugby Football Club. Associate Membership allows a member access to social facilities, but with no voting rights at Club General Meetings ** I enclose cash/cheque for Signed  ** Please indicate method of payment Please return signed and with payment to your coach by 27th SEPTEMBER 2009. Thank You If a player plays without paying the registration fee they are not covered by insurance. 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