News
Matchday Reports
Latest News
Gallery
Match Centre
1st Team
Women’s
Stags
3rd Team
Colts
Juniors
Girls
Minis
The Teams
Join Us
Memberships
Senior Rugby
Women’s Rugby
Social Rugby
Colts Rugby
Junior Rugby
Mini Rugby
Little Ruckers
Tickets
Match Tickets
Season Tickets
Matchday Hospitality
Sponsorship
Our Partners
Partnership Packages
Testimonials
Support Us
200 Club
Wall of Legends
Plan on a Page
Our Club
Club Shop
Club Documents
Heslam Park
Scunthorpe Cricket
Tackling It Together
Contact
Basket
Contact Us
News
Matchday Reports
Latest News
Gallery
Match Centre
1st Team
Women’s
Stags
3rd Team
Colts
Juniors
Girls
Minis
The Teams
Join Us
Memberships
Senior Rugby
Women’s Rugby
Social Rugby
Colts Rugby
Junior Rugby
Mini Rugby
Little Ruckers
Tickets
Match Tickets
Season Tickets
Matchday Hospitality
Sponsorship
Our Partners
Partnership Packages
Testimonials
Support Us
200 Club
Wall of Legends
Plan on a Page
Our Club
Club Shop
Club Documents
Heslam Park
Scunthorpe Cricket
Tackling It Together
Contact
Basket
Home
/
MiniJuniorForm
/ Junior Rugby Membership
Junior Rugby Membership
£
0.00
"
*
" indicates required fields
Mini Juniors Membership Form
Please complete all the following sections in order to register with the club for the 2026/27 season, this is required for ALL players including training only players.
Scunthorpe Mini/Juniors RUFC is committed to keeping your personal data safe and will not use the information you provide for any purpose other than for player registration purposes.
Player registration fees are as follows:
Junior Boys U12 - U16: Season Subscription £120 per season
Mixed Boys/Girls U7 - U11: Season subscription £120 per season
Girls Section (girls only rugby): Season subscription: £75 per season
Mixed Boys and Girls U6: £75 per season
Which team are you registering for?
*
Junior Boys U12's to U16's
Mixed Boys / Girls U7's to U11's
Mixed Boys / Girls Under 6's
Girls Only Section
Player First Name
*
Player Last Name
*
Address
*
Street Address
Address Line 2
City
Post Code
Contact Number
*
Email Address for Club Correspondence
*
Player Date of Birth
*
Day
Month
Year
Team to be registered with:
*
U6 - Tom McMillan
U7 - Roger Hensby
U8 - Connor Price
U9 - Tom Fell
U10 - Rich Turner
U11 - Dave Garbutt
U12 - Phil Wood
U13 - John Woollard
U14 - Mick Coult
U15 - Craig Mason
U16 - Gav Drewry
Girls - Becky Clark
Kit Size
*
6 Years
8 Years
10 Years
12 Years
14 Years
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Please indicate how you intend to pay the subscription fees:
*
Bank Transfer
Cash Handed to Team Manager
Cheque
Pay Online (Stripe)
Club preference is bank-transfer but cash and cheque also ok. If paying by online banking please put the PLAYERS NAME AND AGE GROUP as reference, account details are: Name: Scunthorpe Mini Rugby Club Acc No: 30048977, Sort code: 05-07-57. Cheques should be made payable to 'Scunthorpe Mini Rugby'
Please outline any special dietary requirements
Emergency Contact 1
Contact Name
Contact Phone Number
Relationship to child:
Parent
Carer
Person with parental responsibility
Other
Emergency Contact 2
Contact Name
Contact Phone Number
Relationship to child:
Parent
Carer
Person with parental responsibility
Other
Doctors Information & Medical Info
Name of Doctor / Practice (for medical purposes)
Telephone
Address
Street Address
Address Line 2
City
Post Code
Please outline any medical conditions that require medication:
Parent & Carer Information
*
I agree to my child’s participation in Rugby activities and I acknowledge the need for my child to behave responsibly and sensibly at all times. In respect of all Children under the age of 12, I confirm that myself or a duly authorised person will be present throughout any Rugby activities and my child not left unattended.
*
All kit and equipment remains the property of Scunthope Mini Juniors unless otherwise stated and is chargeable if not returned.
*
It is my responsibility to ensure that the Manager of my child’s team is fully aware of my child’s medical condition (e.g. asthma) or any allergies they may have, and has been, if necessary shown how to administer any medication.
*
I/We consent to the Manager seeking the assistance of a Medical Practioner in the case of an emergency involving my child. N.B This is not consent for any treatment.
*
Opportunities may occur where your child may be photographed or videoed i.e. for local press, for SRUFC mini junior social media pages, publicity for SRUFC mini juniors or by other teams. Please give consent for photographs & videos being taken.
IMPORTANT INFORMATION
*
PLEASE READ & TICK TO CONFIRM YOU'VE UNDERSTOOD
Scunthorpe R.U.F.C. & it’s officials are not under any liability whatsoever for the loss of property, accidents or injuries howsoever caused during the course of training, preparation or matches played at Scunthorpe R.U.F.C. or other grounds. Registered playing members of Scunthorpe R.U.F.C. are covered by insurance against death or disablement as laid down in the Rugby Union Guidelines. Parents/Guardians are advised that any additional insurance is their responsibility. Injuries are rare but, I Agree to my child being treated by any qualified firstaider provided by Scunthorpe R.U.F.C. or opposing club should an injury occur & to my child being transported to a hospital should this be considered necessary. I understand that Scunthorpe R.U.F.C. will notify me as soon as practicable. We abide by England Rugby Headcase rules and if Concussion is suspected you must inform the childs school and G.P as a matter of urgency. Further Information can be found on the England Rugby website. All officials, Coaches, managers and First Aiders will hold a current and valid DBS. Parents/Guardians, Spectators & Players agree to abide by the RFU Codes of Conduct (These can be found on the notice board outside the Changing Rooms & on the RFU website www.rfu.com) and by the rules of Scunthorpe R.U.F.C. and Heslam Park Club (These can be found in the Green Book and Mini Junior booklet). Data protection: Parents/Guardians please note your privacy and the security of your personal information is always at the forefront of SRUFC. As a result, and as required by GDPR, we will make it easier for you to find out how we use your information. We collect and process personal data from you or your child when you join and when we carry out annual renewals of your membership, for the purpose of advertising club activities and promotions and we will share some of your data with the RFU. Please read the new Privacy Notice so you are fully aware of your rights and how we use your personal information. You can access the Privacy Notice detail via the RFU website www.englandrugby.com All players are registered with RFU
Code of Conduct
You can read the code of conduct here: http://nett.tl/10d3c5a
*CODE OF CONDUCT* PLEASE READ & TICK TO CONFIRM YOU'VE UNDERSTOOD
*
Please read and fill in the Code of Conduct, then check this checkbox to continue.
http://nett.tl/10d3c5a
Total
Name
This field is for validation purposes and should be left unchanged.
Subtotal
Options
Total
Junior Rugby Membership quantity
Add to basket
Category:
MiniJuniorForm