Ballina Rugby Football Club

/ Creggs Road, Ballina, CountyMayo

MINI- RUGBY SEASON 2015/16

Ballina Mini Rugby R.F.C. Season 2015/16

I the undersigned Parent/Guardian hereby consent to my child playing mini-rugby.
Name:(of Child) ______
Address: ______
______
Date of Birth:______School: ______
(dd) (mm) (yyyy)
List any medical conditions / details of which Ballina R.F.C. should be aware of pertaining to your child?
______
Signature (parent/guardian)______Date:______
Please complete all contact details below as information regarding training and fixtures will be sent via email/Website Mobile phone app.
Please tick the preferred mobile number which may be used for text messages regarding fixtures and training

Parent / GuardianMother Father
Contact Phone No.Mobile______Mobile______
Home______Home______
Email______Email______
Please note:
  • It is advised that your child by covered by an insurance policy such as the school 24Hr/7day policy in the case of an accident.
  • Parents will be contacted during the season to assist on match days.

Photography Opt Out
I/We,………………………………………… the parent(s)/guardian(s) of (child’s full name) ……………………………………..
do not give my permission to Ballina Mini RFC permission to use any still or moving image being video footage, photographs and/or frames or audio footage depicting my/our children named above taken on behalf of Ballina Mini RFC between Sept 2015 – May 2016 in line with the club’s photography policy for training, educational or publicity purposes.
Parents are welcome to become members of Ballina R.F.C.
Full Annual Membership* (on production of Annual Ballina RFC Lotto Ticket receipt)€ 50
Full Annual Membership€ 100
Family Membership (Full adult membership,Youth/Mini 3+)€ 250
Coaches Membership (Full Annual membership)€ 50
Coaching at: Senior Youth Mini Women’s
Office Use Only
Amount Paid (Cash/Cheque): ______Receipt provided:______Jersey/Bag and Socks Collected: _____
Child’s Name:______
Amount Received: ______Date: ______Received By:______

Dear Parent / Guardian,

Please find attached a Ballina R.F.C. Mini-Rugby membership form for the forthcoming season. Before completing the registrationform please note the following:-

  1. REGISTRATION

Membership for the year is €95 per child, €170 for 2, €225 for 3 or alternatively €250 for family membership. The fee covers the annual club membership, registration with the IRFU and the cost of a club jersey, entry into the clubs of Ireland IRFU draw. Players should also have navy shorts and green socks. Players will not be considered for team selection unless their membership is fully completed and paid.

Membership this year will include an IRFC Raffle ticket, which will be drawn later in the season.

  1. SAFETY

The safety of the player is of primary importance to the club and in order to increase the player’s safety the club is making the wearing of gum shields mandatory.

NO GUM SHIELD – NO GAME

Gum shields can be purchased from most sport shops.

The wearing of any other form of protective equipment such as shoulder pads, scrum caps etc. is entirely at the discretion of the player and his parents / guardian.

It is now becoming more and more prevalent that the wearing of scrum caps can be beneficial, but it is entirely down to the preference of you and your child if you wish them to wear one.

  1. INSURANCE

While paid up members of the club are covered by Club Insurance policy, this only provides cover in the case of very serious injury. It is therefore strongly recommended that you avail of the 24 hr. 7 day Insurance policy as promoted through the schools.

  1. AGE GROUPS: eligibility for IRFU mini rugby

Under 7 Born in 2009

Under 8 Born in 2008

Under 9 Born in 2007

Under 10 Born in 2006

Under 11 Born in 2005

Under 12 Born in 2004

  1. Parent Assistance

Parents are requested to assist on match days at home or away matches at least once during the season as the number of children participating in Mini Rugby has increased in recent years. Please include your contact details on the attached membership form. Any parent interested in assisting in coaching, administering, catering on match days or travelling to away games should contact any of the coaches.

  1. Away Matches

There is a €5 cost per child for travelling on the bus to away matches. This is collected from the player on the bus. For the most the up to date pick up times on away match days please download our mobile phone app from our website.

  1. Communication

Parents are requested to regularly check the Ballina RFC website for the latest team and event information and are strongly encouraged to download the accompanying smartphone app. Please search Google Play or the iStore for the “Pitchero” app. This will provide you with all of the latest team and event information. You can view all team and fixture information at Please also follow our Facebook page on ballinaminirugby.

Thanks