SRUFC MINI junior 2021/2022 registration

Please complete all the following sections in order to register with the club for the 2021/22 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:

Season subscription £50 / season
1st sibling £40
2nd sibling £30
3rd sibling £20

Girls
Season subscription £30
1st sibling £20
2nd sibling £10

If there are any comments or queries relating to this form, please contact your team Manager or email the club secretary at minijuniors@scunthorperugby.com

Player Registration Form

Player First Names

Player Surname

Address

Second Contact Number

Player Date of Birth (DD/MM/YYYY)

Team to be registered with

I will provide the club with a photograph (taken on mobile is fine) for age groups U7, U13 boys, U13 Girls I will provide the club with a photograph (taken on mobile is fine) for age groups U7, U13 boys, U13 Girls Yes

Main contact telephone number for all club related correspondence

Email Address for club correspondence

Please outline any medical conditions that require medication

Please outline any special dietary requirements

Please indicate how you intend to pay the subscription fees, club preference is by 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 Section Acc No: 30048977, Sort code: 05-07-57. Cheques should be made payable to 'Scunthorpe Mini Rugby' Please indicate how you intend to pay the subscription fees, club preference is by 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 Section Acc No: 30048977, Sort code: 05-07-57. Cheques should be made payable to 'Scunthorpe Mini Rugby' Pay online Cash handed to team manager Cheque

Emergency Contact 1 Name

Emergency Contact 1 Main Phone Number

Emergency Contact 1 Second Phone Number

Relationship to child Relationship to child Parent Carer Person with parental responsibility Other

Emergency Contact 2 Name

Emergency Contact 2 Main Phone Number

Emergency Contact 2 Second Phone Number

Relationship to child Relationship to child Parent Carer Person with parental responsibility Other

Name of Doctor/Practice (For medical purposes)

Telephone

Address

Parent/Carer Consent Parent/Carer Consent 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. I confirm that I have read and accept the clubs Codes of Conduct for parents and young persons

*IMPORTANT INFORMATION* PLEASE READ & TICK TO CONFIRM YOU'VE UNDERSTOOD *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