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P1sIENDB`3 A@@   gFamily Membership Form (Youth)Player 1Surname Date of Birth Age GroupGenderPlayer 2Player 3 RelationshipAddressLine 1Line 2Line 3Line 4 Post Code TelephoneMobileemail: Telephone:Mobile:<(social membership to 2 adults with parental responsibility)Family Membership 1 Family Membership 2 4Occupation or skill that might be useful to the clubA(Fill in if you would be prepared to volunteer if the club asked)(eg: Coaching or First Aid)SeasonemailSkills6I certify that all the information on this application is correct and agree to abide by the laws of the game, the RFU rules, regulations, the rules and regulations of the club, RFU code of conducts of Players / Parents / Coaches / Spectators / Administrators and disciplinary requirements of the RFU and DKRFC. 2011/2012Address Surname Date of Birth Forname Age Group Gender Line 1 Line 2 Line 3 Line 4 Post Code Telephone 5Occupation or skill that might be useful to the club QualificationsSigned: Surname_2Date of Birth_2 Age Group_2Gender_2 Surname_3Date of Birth_3 Age Group_3 Surname_4Gender_3Relationship_2Line 1_2Line 2_2 Line 3_2 Line 4_2 Post Code_2 Telephone_2Mobile_2email_2Skills_2Qualifications_2 Surname_5 Amount Paidemail: Mobile: =(social membership for 2 adults with parental responsibility)RFU number (if known) RFU Number RFU Number_2 RFU Number_3MaleFemale Amount Paid U06U07U08U09U10U11U12U13U14U15U16U17Auto fill if same as above ?YesNoForname*Qualifications that might have relevance *Qualifications that might have relevance. Data Protection DK will use your personal data (including potentially sensitive data) for the purpose of your participation in rugby and for regulatory reasons and to send you information by post or email. Your details will not be passed on or shared with any other organisation. The information that is required in this document may be stored on a computer and, if so, it is subject to the Data Protection Act 1984. The Act requires that all the information is strictly confidential and may only be accessed by those with the legal right to see it. The information will not be given to anyone else without your written consent. You have the right to examine the information that is stored on a computer at any reasonable time. You have a right to correct any information that you feel is wrong or misleading. 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