APPLICATION FOR MEMBERSHIP (New & Renewal)

 

This completed form and a cash/cheque made payable to Lincoln RFC Juniors should be handed to your section’s rep or Junior Membership Secretary.

 

 

Membership category	2006-07 subscription	Entitlement	Tick ü
Non-playing	£30 per annum	1 vote at AGM/ Apply for international tickets/ Gym membership/ Use of bar	Cash   Cheque
Social	£10 pa	Use of bar	Cash   Cheque
Junior Name of Junior______________________________d.o.b.__/___/___                         _______________________________d.o.b__/___/___   Name of guardian______________________________________	£15 pa + Biyearly subs - £32	1 vote (by adult) at AGM/ Apply for international tickets/ Gym membership for over 16s/ Use of bar	Cash   Cheque

 

Notes

1.       Any one individual has a maximum of one vote.

2.       All Junior and Mini members must also have a parent/guardian registered. This adult member is responsible for their child when not under the direct supervision of the Club.

 

 

 

 

 

 

PHOTOGRAPH PERMISSION

All Parents/Guardians must give permission for their children’s photograph to be taken by club nominates persons.  The photographs will be for club use only as game play aids, team photographs or club publicity (local press).

 

 

I, ……………………………………..…………………………..  do/do not give permission for my child’s photograph to be taken for club use.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  PTO

 

	Tick ü
I wish to become a member of Lincoln Rugby Football Club (and, if applicable, together with the other member(s) of my family that I have named overleaf).
I enclose a cheque for our membership subscription for the 2007-08 season in accordance with the scale shown on page 1.
In the event of this application being successful, I agree to abide by the Rules of the Club including the Good Behaviour policy (see below).
I agree to my contact details being given to the Club’s partners in support of Club fund-raising initiatives (details on club notice board).
I understand that photographs maybe taken during the course of Club events that might be used on the Club website.
I realise that if this application is refused for any reason, my subscription will be refunded.

 

 

 

Good Behaviour Policy

 

It is a condition of membership of Lincoln RFC (“the Club”) that all Club members and, if applicable, guardians (and any children that they may have who play in the Club’s youth sections) agree to abide by and uphold the Club’s Good Behaviour Policy. This Policy is as follows:

 

1. All Club members (and any children that they may have who play in the Club’s youth sections) must

respect and take care of Club property and the property of other Club members or children who play in the youth sections. When playing against non-Club teams, touring with the Club or representing the Club in any way a similar regard must be paid to the property of other clubs/teams, other premises and other people.

2. All Club members (and any children that they may have who play in the Club’s youth sections) must have

respect for the Laws of the game of rugby, all the Club’s coaches, all other coaches of teams the Club plays and all persons refereeing games involving Club teams. Parents of youth players are expected to be particularly vigilant in this respect and actively encourage youth players to behave likewise.

3. All Club members (and any children that they may have who play in the Club’s youth sections) are reminded that the good name of the Club is vital to the Club’s wellbeing and are required not to bring the Club’s name in to disrepute by words or deeds.

4. If any Club member (and any child that they may have who plays in one of the Club’s youth sections) does not comply with the Club’s Good Behaviour Policy sanctions will be applied to that individual by the Club or by an officer or coach of the Club. The ultimate sanction will be withdrawal or refusal of Club membership.

 

 

To ensure we have the correct contact details for you, please insert the information requested below and return this form to the coordinator for your relevant team.  If you are under 16 please ask your parent or guardian to sign the form before it is returned.

We will also use this information to ensure you are kept informed of the club events.

 

Personal Details

 

Name: ………………………………………………………………………………

 

Date of Birth: ……………………………………………………………………….

 

Gender:         Male/Female

 

Address: …………………………………………………………………………….

 

………………………………………………………………………………………

 

………………………………………………………………………………………

 

Tel No:  Home………………………………      Mobile  …………………………

 

E-Mail address: …………………………………………………………………….

 

Lincoln Junior Section operates an equal opportunities policy. In order to monitor this policy is followed, can you please tick one of the following to identify your ethnic group:           

 

·          White

·          Mixed

·          Asian/Asian British

·          Black/Black British

·          Chinese/Other Ethnic Group                     ………………………………………………

 

Do you consider yourself to have a disability?                                                              Yes/No

 

If yes, what is the nature if the disability?

 

……………………………………………………………………………………….….

 

Sporting Information

 

Have you played rugby before?                                                                                        Yes/No

If yes, where did you play?

·          Primary School                                    Please state:  ……………………………………

·          Secondary School                               Please state:  ……………………………………

·          Local Authority Coaching Session

·          Club

·          County

·          Other (please specify) …………………………………………………………..

 

Medical Information

 

Please detail below any important information that our coaches/volunteers should be aware of  (i.e. epilepsy, asthma, diabetes etc) and complete the relevant Medical History Sheet (ask age group coordinator for this form)

 

…………………………………………………………………………………………..

 

…………………………………………………………………………………………..

 

Emergency Contact Information

 

Please insert the information below to indicate the person(s) who should be contacted in the case of an emergency.

 

Contact Name: ………………………………………………………………………….

 

Relationship:                        Parent / Guardian / Other ……………………………………….

 

Emergency Contact No:  ……………………………………………………………….

 

Declaration

 

·          By returning this completed form, I agree to my son / daughter in my care taking part in the activities of the club.

·          I understand that I will be kept informed of these activities, for example, timings for training sessions and transport details.

·          I understand that in the event of an injury or illness all reasonable steps will be taken to contact me and deal with that injury/illness appropriately.

·          I understand that from time to time photographs/recordings may be taken for media and publication purposes on the club’s website.  I therefore grant permission for such material to be taken and used by the club.

 

Name of parent / guardian: ……………………………………………………………

 

Signature: ………………………………………………………………………………

 

Date: …………………………………………………………………