Club Membership Secretary :
Tracy Davies
72 Merrow Woods
Guildford
Surrey
GU1 2LN
Tel : 01483 511511
Email :
Please complete the form in capitals.
One form required per member.
Two passport sized photos are required for all players in the youth age groups (U12–U18’s) if not provided in the last 2 years.
Full Name
Gender / Male / Female / Date of Birth
Address
Any medical conditions
Previous Club (new players)
How did you hear about us / If Introduced by a club member – please enter name
Age (this academic year) / School(juniors only)
Additional information – Juniors Micros – U18’sMembers Only
Parent / Guardian 1st / 2nd
Relationship to member 1st / 2nd
Address(if diff. or additional
to above) / 2nd
Occupation 1st / 2nd
Home phone number 1st / 2nd
Mobile (Emergency) No 1st / 2nd
Email Address* 1st / 2nd
Additional information – Senior , Social & Touch Members Only
Nationality / Occupation
Home phone number
Mobile No 1st
Email Address * 1st / 2nd
Emergency Contact &
relationship to player / Contact No.
* Please print carefully, we use email to communicate with our members to keep costs low – please enter at least one email address
Volunteers -
Please note that Guildfordians RFC is entirely run by unpaid volunteers.
Throughout the season all parents and senior members will be asked to help with various tasks such as the duty rota, festivals etc. Please give your support wherever possible – the club can’t run without your help and many hands make light work.
If you would like to volunteer specifically in certain areas -help is always needed in the following
Please circle: Catering Administration Coaching First Aid /Physio Building Maintenance Club Shop Festival
Other ……………………......
Please turn over to complete your application
Seniors: Single Payment (No match fees) / £195
Seniors:Monthly Payment(No match fees) / £215 spread over 7 Months
Seniors :Students, Armed forces & Unemployed. Proof required. / 50% discount on the above
Seniors : Other e.g. Occasional players / Please contact Senior Chairman
Juniors :Micros & U6’s / £65
Juniors :U7’s -18’s / £105
Juniors : Siblings U7’s – U18’s and Girls aged U12’s and above / £75
Social : Non Playing Social Member - 1 year / £35
Social : Non Playing Social Members - Life Time / £135
Touch : General / £85
Touch : Club( for paid up club members)** / £50
Touch : Juniors (for paid up club members U11-U18) / Free
Touch : Juniors (non club member / Students 18+) / £25
**serving member of uniformed / emergencyservices. Unemployed
Players are only covered by RFU insurance once a completed membership form is received by the club.
The Junior membership fee includes the players’ listed parents/guardians as playing members of the club.( Additional Fee / Match Fee will be required to play senior rugby)
New Junior Members can play as a Temporary Member for three sessions before any membership fees become due.
If the above named person wishes to become a Full member thereafter, the appropriate membership fee must be paid.
Cash / Cheques – please make cheques payable to ‘GMRFC’ and add name / age group on reverse.
Debit/Credit Card – a payment link will be emailed
By signing this completed form, I understand and agree to the following:
- (Parents Micros –u18’s) - My son/daughter taking part in the activities of the club and I am responsible for them immediately before and after every club session (including training sessions, matches, social etc.).
- (Parents Micros - u11s) - To remain on site at Guildfordians RFC at all times. Guildfordians RFC does NOT operate a'drop leave'facility. We like parents/guardians/accompanying adult to stay, watch and encourage the children during the sessions.If a child has to be left for any reason a responsible adult must be left in charge of the child and both the child and the child's coach must be advised as to who that responsible adult is and I confirm the details shown on this form are correct.
It is absolutely essential that at the end of the session someone is there to collect the players on time. - I consent to the club maintaining records and information relating to the above named player in confidential electronic documents and in club information folders for the purpose of club administration in line with the clubsPrivacy. I understand that I have a right to see this information if I so desire, providing I give appropriate notice. It is my responsibility to keep the club updated with all relevant information, especially emergency contacts and medical details.
- I agree to abide by the Club’sRFU Codes of Conduct and Club's Disciplinary Code as may be amended from time to time.
- Guildfordians RFC, its servants, agents or employees (all volunteers), are not under any liability whatsoever for loss of property, accidents or injuries, of or to the above named player however caused during the course of training, matches or other events.
In the event of any injury or illness, all reasonable steps will be taken to contact me, and I give permission for the club and/or any medical authorities present, to administer any appropriate or necessary medical attention.
The club may wish to take photos or videos of the team or players solely for promotion and celebration of club and RFU activities and trainingpurposes. Please indicate if this is acceptable to you: ◻ YES ◻ NO. Please share any additional information with the club Safeguarding Officer.
Complete Your Application
Signature of Senior Player, Touch Player, Social Member or Parent / Guardianof a Junior player.
……………………………………………………………..………..……………… Date …...... /..…..../…..…
Membership Number / RFU Number
Membership Fee / Received on
Payment Method (Cheque/Cash/Online/Other) / Membership / (New \ Renewal)
Notes