Youth Membership – Plan A & B (Sibling) Monthly

£3.66 / month for 12 months

Junior / Mini Membership Secretary : Steve Blanthorn

email :

Tel: 07894 082038

Data Protection Act 1984 – To facilitate the provision of information and newsletters to our members all details given below will be recorded on a database. This is not used for any other purpose
nor will it be so used without your prior consent. Should you have any objection to such a record being maintained you are entitled to request exclusion by writing to the Club Secretary.

One form per player

Players Full Name *

D.O.B: *

Child’s RFU ID Number

Applying Parent / Guardian: *

Parent / Guardian’s RFU ID Number

Parent / Guardian’s D.O.B *

Parents / Guardians Email: *

Video *

Internet: *

SKU: youth-mship-b-1 Category:


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