2:
Date of Birth: / Nationality:
(RFU requirement) / Age Group U………………
Home Phone: / Daytime Phone: / Mobile:
Address:
Postcode: / Email 1:
School: / Email 2:
Relevant Medical History and allergies:
EMERGENCY CONTACT DETAILS
Volunteers
Please note that Weybridge Vandals (the ‘Club’) is run by unpaid volunteers. Throughout the rugby season all parents and senior members will be asked to help with various tasks such as the mini festivals, beer festival, parking rota etc. Please give your support wherever possible, our Club cannot run without your help. If you would like to become more involved in the Club there are various areas where help is always needed.
EVERY PARENT IS EXPECTED TO VOLUNTEER AT LEAST ONCE A YEAR – PLEASE HELP YOUR CLUB AND DO YOUR BIT FOR YOUR CHILDREN AND THEIR TEAM MATES.
ALL COACHES, MANAGERS AND FIRST AIDERS ARE VOLUNTEERS GIVING UP LOTS OF THEIR TIME TO RUN YOUR CHILD’S TEAM, SO PLEASE GET INVOLVED WHERE YOU CAN.
Please circle AT LEAST ONE ITEM below:
Coaching First Aid Parking Club Shop Mini Festivals Beer Festival SafeGuarding
Other (please specify) ……….……………………
Membership Application; Terms and Conditions
I apply for membership of Weybridge Vandals RFC (the ‘Club’) and I agree to the Club rules and codes of conduct displayed in the clubhouse and on the website. I have read and understand the payment rules and agree to pay for a minimum of 12 months. I have read RFU Declaration and section overleaf and have ticked any boxes I feel relevant.
Parents: Micros to u18 – I agree that my son/daughter may take part in the activities of the Club and that I am responsible for them immediately before and after every Club session (including training sessions, matches, social etc.). It is absolutely essential that at the end of the session someone is there to collect the children on time.
Parents: Micros to u11s – The Club does NOT operate a 'drop and go’ facility and would like parents/guardians/accompanying adults to stay, watch and encourage the children during the sessions. If a child has to be left for any reason the child's coach must be advised.
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 training purposes. You are required to confirm this statement. However, if you disagree with the above statement please email .
Please tick ONE of the following boxes (membership categories are overleaf):
I enclose my cheque (payable to WVRFC) or bank card receipt / I have set up payment directly via internet banking (details overleaf)
I already have a valid Standing Order paying at the correct amount
Signed:…………………………………………………… / Date:………………………………………………..
Club use only: / RFU ID / VALID
Categories of Membership and Annual or Monthly Fees
Please tick ONE relevant box
Mini/Junior playing Member / £102 / £8.50 per month (no voting rights)
Mini/Junior Family Membership / £150 / £12.50 per month (includes mini/junior playing membership for all eligible siblings and non-playing full membership with voting rights for one family member)
Any member who defaults in payment will not be entitled to use the Club or to play for the Club until all outstanding payments are made.
Any member who is in arrears with their subscriptions is not eligible to play for in Surrey Competition matches. Fielding ineligible players puts the team at risk of exclusion or disqualification from Surrey Competitions.
All players attending age group tours MUST be fully paid up members of the club.
Membership fees are due on 1st September. They may be paid either by Internet Banking or annually by 30th September. Fees cover the total membership cost and include annual subscriptions, match fees and various other benefits. Internet banking details are set out below:
Please set up a recurring monthly payment to the following account, quoting reference [Surname, First name]:
Account name: Weybridge Vandals RFC & CC
Address: HSBC Bank plc, West Byfleet, Surrey, KT14 6NX
Account number: 11132547
Sort: 40-46-48
Consent – Personal Data
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. I agree that the Club may contact me with Club news / events / age group updates by email and/or post. I also agree that the Club may enter my details onto the RFU Database for the purpose of registering my child/children in accordance with RFU requirements. It is my responsibility to keep the club updated with all relevant information, especially emergency contacts and medical details.
Signed:…………………………………………………… Date:……………………………………………………
RFU Declaration
This membership form is used to register your information on the RFU Database. Please ensure you read and action if necessary the following declaration.
The RFU is fully aware that some people will only want to receive information from the RFU on rugby issues and, therefore, you can ensure that you only receive this type of information by ticking the appropriate boxes below. However some people will want to receive other information and, therefore have set out three options below.
If you do or do not wish to receive certain types of data, you should tick the appropriate box below; the RFU may also use such personal data for the following purposes: To send you by electronic mails other information about RFU tickets, products, special offers, opportunities and related service which may be of interest to you.
Tick here if you do not want to receive such information
To pass your details to our official sponsors, who may use your information now or in the future and to compile market research information and statistics.
Tick here if you do not want to receive such information
To send you by electronic mail information about official sponsors, their associated companies and their products and service that may be of interest to you.
Tick here if you do want to receive such information
Other Important NotesWhilst coaching and matches are supervised to minimise the risk of injury, rugby is a physical contact game. The RFU insurance scheme covers all paid up members of the Club, see http://www.rfu.com/ManagingRugby/Insurance/PlayersParentsAndGuardians.aspx but note that this is only basic cover and DOES NOT cover loss of earnings. The Club recommends that you consider taking out additional insurance.
Please note that the Club, its servants, agents or employees are not be responsible for supervising players before or after coaching sessions or matches. The RFU advises players to have an up to date tetanus injection. A properly fitted Gumshield is also recommended.