Haslemere Community Rugby Club Adult Enrolment 2019/20
Welcome to the new season at Haslemere Rugby!

Please use this form at the beginning of every season to assist us with entering & updating your details on our system. All of this data is held under our Data Protection Policy:

http://www.haslemererugby.co.uk/a/hcrcl-data-protection-and-privacy-policy-52319.html
Email address *
Senior Membership Information
Please read the Membership Information Sheet here: https://www.haslemererugby.co.uk/a/become-a-member-35141.html?page=2

Playing (Senior - Military/Student/Unemployed) - free upon approval - we will be in touch
Playing (Senior Ladies) - £10
Playing (Senior Men) - £130 - payable in instalments if needed
Social - £130

Please proceed to https://www.haslemererugby.co.uk/payments/category/membership to pay your membership fees
Volunteers
Please note that we are entirely run by volunteers!

If you would like to become more involved there are various other areas where help is always needed - please contact the Head Coach or Team Manager.
Concussion Awareness
It is extremely important that players learn the signs and symptoms of concussion. Please take time to read through the following resources: https://www.englandrugby.com/participation/playing/headcase/resources
RFU Registration & Player Insurance
If you are not yet registered with the RFU (this only needs to be done once), register online by visiting the following link and signing up.

If you already have an RFU number, we request that you log in and update your information. It is essential that the RFU have your updated details on file.

https://gms.rfu.com/GMS/Account/Login?OrganisationId=1535

All players once registered with the RFU are covered by their basic insurance; follow this link for details about the insurance offered: http://englandrugbyinsurance.co.uk/
Haslemere Rugby Code of Conduct
Your Registration
Membership Type *
What type of membership do you want
Registration Type *
Previous Rugby Club
(if any)
Your answer
First Name *
Your answer
Surname *
Your answer
Gender *
Mobile Number *
We may need to get in contact with you in an emergency
Your answer
Home Address *
Your answer
Home Phone
In case your mobile is unreachable
Your answer
Medical Conditions *
e.g. Asthma, Epilepsy, Allergic to penicillin. Please input "None" if there are no medical conditions
Your answer
Occupation / Skills
Please tell us what you do for a living or what skills you have. You don't have to answer, but if we know this information we may get in touch with you to ask for help or advice. Thank you!
Your answer
Declaration
I would like to join the Senior section at Haslemere Community Rugby Club (“the Club”), a part of Haslemere Community Rugby Club Limited (“HCRCL”). I understand that to the extent permitted by law HCRCL, the Club, any officers, servants, agents, employees, officials, coaches or volunteers are not to be under any liability whatsoever for the loss of property, accidents or injuries of or to myself, however caused whilst on Club premises, or during the course of training, preparation or matches played at the Club or other grounds. Until the subscription is paid the RFU’s insurance cover will not be valid.

I confirm that above details on this Application Form are correct and that I will inform you promptly of any changes in my data (mobile phone numbers, email addresses, etc.) and particularly any medical changes so as not to invalidate the insurance cover with the Club. The information above will be held for registration purposes and in accordance with the Club’s Data Protection Policy.

I confirm that I have read the Membership Information Sheet and I will be bound by the laws, resolutions, and rules of the Rugby Football Union (RFU) and its constituent bodies, the Club and the Code of Conduct of Haslemere Community Rugby Club including the specific terms of membership as set out on the Membership Information Sheet.

You should be aware that photographic images of you may be taken during training sessions and matches by the Club, coaches or other visitors. The RFU publishes guidelines on this matter.

I permit the taking and storage of still and video photography of me to be used only by the Club for promotional and training purposes.
FULL NAME *
Your answer
DATE *
Please enter today's date
MM
/
DD
/
YYYY
I agree to the above declaration *
The Club
Haslemere Community Rugby Club (“the Club”) is part of Haslemere Community Rugby Club Ltd, a company limited by guarantee, registered in England & Wales with Company Number: 05553736. Registered Office: 48 Scotland Lane, Haslemere, Surrey GU27 3AL.
A copy of your responses will be emailed to the address you provided.
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