Membership Application Form

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Membership Application Form - Old Christians RFC

Please fill out the form if you wish to be considered for membership of the Youth Section of Old Christians RFC. We will revert to you in due course to inform you of the outcome. There is also a membership fee to be paid should you be accepted as a member (Also be aware that we note your IP address to ensure we avoid unnecessary false entries). We will also request a consent form to be signed by both the player and parent/guardian.
  • First Name
    Last Name
  • We require your full postal address as this is a condition required by the IRFU when registering a player,
  • This is required for communication with the player normally via text and is also used by the IRFU for registration purposes.
     
  • Please enter your date of birth here. We will subsequently require a copy of a birth certificate and a passport size photograph.
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    MM
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    YYYY
  • Please indicate the team that you believe you are eligible to join
  • Please confirm that you wish to be a member of Old Christians RFC and that if you are under 18 you have parental permission. You also agree to the rules and regulations of Old Christians RFC and of the Irish Rugby Football Union if you agree to request mebership
  • What best describes your previous rugby playing experience in your opinion
  • Do you have a medical condition that the club should be aware of and may impact on the playing of the game or in treatment. If yes please answer in the affirmative and subsequently please make yourself known to the relevant coach.
  • This is required to ensure that an underage player has the consent of their legal guardian or parent. The club may also wish to communicate with this person for a variety of reasons.
    First Name
    Last Name
  • I confirm that I am the legal guardian/parent of the applicant and I consent to his/her membership of Old Christians RFC and I am prepared to confirm this in writing if requested.
  • This is required in case of emergency or for contact with the legal guardian of the applicant
     
  • This is required to make communication easier and to keep costs down. An applicant and parent/guardian may share an email address but please enter separately in each location.
  • Please note that we may take your photo for promotional and other club purposes and that by joining you agree to this. The photo(s) may also be used on the website
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