Youth – U17’s & U18’s

Player Details:

Player Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth *

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Parent/Guardian Details:

Parent/Guardian Name *

First

Last

Is the parent/guardian address different from the Player address?

• Yes
• No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone number *

Alternative Contact Name *

First

Last

Alternative Contact Number *

Email *

Email

Confirm Email

Does the Player have a pre-existing medical condition or allergy the Club should know about? *

• Yes
• No

Please tick this box if you would like to discuss a medical condition confidentially and the Club Safe Guarding Officer or other appropriate Club Official will contact you privately.

• Yes

Medical Condition: further information

I hereby grant permission for my player to be photographed or filmed regarding their involvement in rugby union for the purposes of:

• Coaching/video analysis and the promotion of Rhyl RFC, in press releases and publications, both online and in other forms of public communications eg. Local press

Marketing Emails

• I do not wish to receive marketing emails from Rhyl Rugby Club

Youth Membership

Price: £75.00

Per Season

Payment Details *

Submit