Players Membership Form | Westcliff Rugby Club

Player's details

First name Playing* Last name* Date of Birth * Team * Sex * Does the player have a medical health condition? * Is the player new to the Club, or has left the Club and returned and requires RFU Registration or Transfer to Westcliff Rugby Football Club? *

If you have not formally registered with the Club before, or if you have registered elsewhere and you are returning please tick the Yes box.

Previous Club (if applicable) Date of Leaving (if applicable) Union (if applicable, e.g. English, Scottish, etc) Membership Required * Phone * Email *

Add Extra Player

Home Address

Address Line 1* Address Line 2 City*

State / Province / Region* Postal Code*

Parent / Guardian / Next-of-kin Details

Parent / Guardian / Next-of-kin's First Name* Parent / Guardian / Next-of-kin's Last Name* Parent / Guardian / Next-of-kin's Date of Birth*

DoB for the Parent/Guardian is needed to confirm over 18 year old status to allow voting rights & to complete a mandatory field entry on the RFU Games Management System (GMS) database, which is used to securely store your data.

Telephone Number* Email Address*

Membership Subs

Team *

Subs are due by the end of September. If you are having dificulties with payment amounts or payment schedules please contact your manager. All conversations will be kept confidential.

BACS Transfers can be made to Westcliff Rugby Football Club Ltd / TSB Bank / Sort code: 30-94-26 / Account: 00026636

Cash should be put in an envelope with player's name and age group and given to the Bar Manager.
Should you wish to pay by standing order, please contact your team manager to discuss further.

Donation & Gift Aid (Optional)

The Clubs current fund raising drive is for further improvements within and around the clubhouse

Make a donation

Method of Payment*

Cash
BACS Bank Transfer
Other (e.g. Authorised Concession)

BACS Transfers can be made to Westcliff Rugby Football Club Ltd / TSB Bank / Sort code: 30-94-26 / Account: 00026636

Cash should be put in an envelope with player's name and age group and given to the Bar Manager.
Should you wish to pay by standing order, please contact your team manager to discuss further.

Membership Card

Westcliff RFC is in the process of developing a membership card system that will provide discounts and benefits to members who accept its terms and Conditions. Terms and Conditions for the card can be found below. We would like to highlight that acceptance of the cards Ts&Cs will allow us to contact you to provide details of club promotions, events and any available discounts. This would also allow us to send information from our Club Sponsors to you, which ultimately will help the Club raise funds for our further development. You may, at any time, stop the emails by clicking on the Unsubscribe link at the bottom of the message. All parties involved will adhere to the Clubs Privacy Policy.

I wish to receive a Membership Card upon their launch and I agree to the Terms & Conditions*

Yes, I/we agree
No thank you

Declaration and Consent

Medical Treatment*

I give my consent

In the event of injury / illness that may require medical treatment or use of anesthetic I agree to the Team Coach/Manager signing the necessary consent form.

Photograph/Video Taking & Publication*

I give my consent

I confirm my consent to photographing/videoing and publication of images of my child whilst participating in rugby activity.

Fair Play for All Code of Conduct*

I give my consent

I have read and agree to follow the club Fair Play for All Code of Conduct Document and, if making the application for a minor, I will ensure that I draw this to the attention of my child.

I certify that all the information is correct and agree to abide by the Laws of the Game, the Club & RFU rules, regulations and disciplinary requirements, which are available on the Clubs website or at www.englandrugby.com/governance*

I give my consent

Club e-News Letter (Optional)

I give my consent

I give my consent for the club to send me "The Westcliff Word", the club e-News Letter via Mail Chimp which contains news, events, and links to sponsors websites. Mail Chimps privacy policy can be found by following the link: https://mailchimp.com/legal/privacy/ the news letter will also be published on the clubs website, and your consent can be removed at any time by selecting the Unsubscribe link on the publication, or by contacting the Clubs Data Officer.

Club Lunch, Dinner and Other Event Notifications (Optional)

I give my consent

I give my consent for the club to send me notifications via e-mail of planned lunches, dinners and other events. Events will also be published on the clubs website, and your consent can be removed at any time by contacting a member of the Clubs Hospitality team.

Signature*

I, the signee, have the authority to sign on behalf of all the Players stated within this submission, and by signing entering into a Volunteer Player (unpaid player) Agreement/Contract as per the terms of this form for the period of 1 year from 1st Sept 2024 until the 31st August 2025 (To sign - Please draw your signature on the touch screen or by using the mouse. When using a mouse, hold down the left button to draw. You can start again by clicking on the x in the top right corner.)

First name* Last name *