Junior Rugby Membership


"*" indicates required fields

Mini Juniors Membership Form

Please complete all the following sections in order to register with the club for the 2024/25 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:
Boys Season subscription £100 per season
Girls Season subscription: £50
Mixed U7 - U11: £100
Mixed U6 : £50
Player Date of Birth*
Please indicate how you intend to pay the subscription fees:*
Club preference is online or 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'

Emergency Contact 1

Relationship to child:

Emergency Contact 2

Relationship to child:

Doctors Information & Medical Info


Parent & Carer Information

Code of Conduct

You can read the code of conduct here: http://nett.tl/10d3c5a
This field is for validation purposes and should be left unchanged.