Member registration form/入会申込フォーム
Regarding e-mail addresses, if possible, please register a "non-free mail address”.
E-mails registered via free e-mail addresses such as hotmail, yahoo, gmail etc. may lead to e-mails from SIRC not being delivered or sent to junk mail.

Email address *
Name of Parent or Guardian 保護者氏名 *
Your answer
Child's name ご入会者名 *
Your answer
Age 年齢 *
Your answer
Birth Year 誕生年 *
Your answer
Birth month 誕生月 *
Your answer
Date of birth 誕生日 *
Your answer
Child's gender 性別 *
Language that your child use お子様が主に使用される言語 *
Please enter your desired month of membership registration 入会ご希望月をご記入ください *
Team uniform– application ユニフォームのお申し込み
Name on rugby shirt ユニフォームシャツに表記するお名前 *
(1)First name/s or nickname/s you would like put on the shirt/s in capital letters. (2)You can enter up to a maximum of 20 letters (please note that longer names will appear smaller). ①表記させて頂きますご希望のお名前(ファーストネームのみ)またはニックネームを、アルファベットの大文字でご指定ください。②最大20文字までお入れできますが、文字数が多くなりますと1つの文字サイズが小さくなります。
Your answer
Size of rugby shirt ユニフォームシャツのサイズ *
Size of short pants ショートパンツのサイズ *
Socks size ソックスのサイズ *
Membership terms and conditions, privacy policy and fees. 会員会則並びに会費・入退会等細則、プライバシーポリシー
Membership terms and conditions, and fees, privacy policy

Read the membership terms and conditions, including fees, membership termination policy, privacy policy and confirm your agreement by checking the box.


Confirmation of membership terms and conditions, privacy policy and fees. 会員会則並びに会費・入退会等細則、プライバシーポリシーのご承諾 *
Audio, visual and other related recordings (Consent or Decline) 写真・動画掲載の承諾及び拒否
SIRC undertakes public relations activities by utilizing its website, social networking platforms and other web based services for the purposes of developing rugby and international relations, and to inform both the Japanese public and globally of SIRC’s activities. Accredited commercial media who have obtained prior consent from SIRC may take audio, visual and other related recordings of SIRC’s activities for public disclosure. Members may decline such disclosure by submission of a non-publication notice by prior written notice or e-mail to the SIRC if it does not wish for such information to be made publicly available. If the member does not decline the use of such information, such Member shall have deemed to have provided its consent to such release.

▪️ Images and private information will only be used for the purposes of SIRC’s public relations activities.
▪️ Any photos or vides which have been publicly published on SIRC’s media platforms and where the SIRC has a received a request to remove such photos or vides will be promptly removed from such media platforms controlled by SIRC.
▪️ Please send any non-publication notices to by prior written notice or e-mail to the SIRC if you do not wish for such information to be made publicly available. However, where group photos or other media instruments are being utilised to record group activities, please use your own discretion to not be recorded.
▪️ Please contract for any enquiries.


Audio, visual and other related recordings (Consent or Decline) 写真・動画掲載の承諾及び拒否確認 *
A copy of your responses will be emailed to the address you provided.
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