Naas Rugby Football Club Forenaughts, Naas, Co. Kildare W91 AX81 www.naasrugby.com JUNIOR SECTION – U07 TO U18 ONLY Under Month Born
U07 1 Jan 2011
U08 1 Jan 2010
U09 1 Jan 2009
U10 1 Jan 2008
U11 1 Jan 2007
U12 1 Jan 2006
U13 1 Jan 2005
U14 1 Jan 2004
U15 1 Jan 2003
U16 1 Jan 2002
U17 1 Jan 2001
U18 1 July 99 31 Dec 00
JUNIOR SECTION U07 TO U18 ONLY – REGISTRATION 2016-2017
Christian Name Address
Surname EIRCODE: Date of Birth
Home Telephone Number Player Mobile Number School
Under
Parent / Guardian 1
Parent / Guardian 2 Name Occupation Email Mobile
Please indicate which mobile phone number should be used as the main contact number for text messages
HEALTH AND SAFETY Has your child any injury or illness? Is your child on any medication? Does your child have any allergies? Are there any other medical details you feel your child’s Coach should be made aware of before your child participates in this seasons training?
While the information given on this form is not mandatory it is important and will only be given to your child’s Coach. FOR HEALTH AND SAFETY REASONS ALL PARENTS MUST COLLECT THEIR CHILDREN (UNDER 07s TO UNDER U15s INCLUSIVE) FROM THE PITCH, NOT THE CAR PARK.
I Parent/Guardian: ___________________________ consent to ________________________ participating in Rugby with Naas RFC Please tick this box if you do not want to be contacted by Naas RFC in relation to ongoing activities in the club Please arrange insurance cover appropriate to your needs, medical expenses cannot be reimbursed by Naas RFC. * Family Membership includes 1 voting member of Naas RFC * Further information from Club desk
SUBSCRIPTION Date: Please tick as appropriate
Received by: Cheque
Bank Transfer
One Child (U07 to U18): 2 Children (U07 to U18): 3 or more Children (U07 to U18): Family Membership: Coach / Manager For office use only: Naas RFC ID
€ 140 € 220 € 300 € 300 € 140
Cash Bank Transfer Details Naas RFC No 1 Account BIC: BOFIIE2D IBAN: IE09 BOFI 9012 3924 5329 41 IRFU ID
Naas Rugby Football Club Forenaughts, Naas, Co. Kildare W91 AX81 www.naasrugby.com JUNIOR SECTION – U07 TO U18 ONLY It is necessary for Naas RFC (“the Club”) to collect and record certain personal data relating to each member, including the member’s name, address, telephone number and date of birth. The data about each member shall be provided to the IRFU, the relevant Branch and other third parties to facilitate any services provided relating to the Irish Rugby Football Union’s Player Registration Programme Website (the “Website”) and published on the Website. It is the IRFU that controls any data provided. The system will be used for management and administration purposes only. Any party receiving the information shall not use it for commercial purposes or release it to any party without prior approval. The Club wishes to ensure that each of its members (for the purposes of applicable data protection legislation) explicitly and unambiguously consents to the processing of personal data by the Club in conjunction with its ordinary business. Therefore, the member should confirm the following: I consent to the use of my details as set out above and for such purposes as the IRFU considers reasonable and appropriate (including those activities detailed above). Each member has the right to request in writing a copy of any personal data about themselves which is held and have amended any personal data which is incorrect, incomplete or misleading. Player Name:
Signed:
Date:
JUNIOR SECTION CODE OF CONDUCT
Smoking is not allowed on any part of the Club Grounds or while representing the Club.
The consumption of Alcohol on the Club Grounds or while representing the Club will not be tolerated.
Drug or substance abuse of any kind will not be tolerated.
The use of abusive language or attitude to other players, fellow members, coaches or match officials will not tolerated.
Bullying, unruly or disruptive behaviour by members will not be tolerated.
When representing the Club, at any level, players are expected to wear the Club Colours as set out in the Club Constitution i.e. Green and white Jersey, black shorts and green socks.
Damage to Club Property will not be tolerated. Serious breaches of this rule may lead to action on the part of the club for repair or replacement of the damaged property. This also applies to damage done while representing the Club at away matches.
Any breaches of the Code of Conduct will result in appropriate action being taken against the Offender, which could include suspension or expulsion from the Club.
I have read and understand the Code of Conduct and I agree to abide by the Club Rules.
Photographs � I understand that photographs may be taken during or at rugby matches or related events for the promotion of rugby and Naas Rugby Football Club and which may be published in the press and on the club website and I consent to this. Player Name: