St. Julian's Rugby Club - Enrolment Form - Season 2019-20
Please complete this form to enable us to enter/verify/update each player's records.
Player's full name *
Last name, first name
Your answer
Player's home address *
Last name, first name
Your answer
Player's N.I.F. (fiscal number) *
Last name, first name
Your answer
Date of birth *
Day-Month-Year
Your answer
Age-group *
School *
Required
School year group *
Your answer
Home telephone number
Your answer
Mother's mobile telephone number *
Your answer
Father's mobile telephone number *
Your answer
Other mobile phone number (guardian's)
Your answer
Player's mobile phone number
For sub-14/16/18 players
Your answer
Mother's email address
Your answer
Father's email address
Your answer
Other email (guardian's)
Your answer
Player's email
For sub-14/16/18 players
Your answer
Preferred payment plan *
Mother's complete name *
Your answer
Father's complete name *
Your answer
Statement of responsibility (Authorising the player to play Rugby with the club until formal registration with the Portuguese Rugby Federation has been completed.). *
Provide name and ID/passport nº of parent/guardian
Your answer
Statement of responsibility *
I declare for all intents and purposes that my son/daughter/ward does not suffer from any disease (infectious/contagious or otherwise) that might impede their participation in the sport or place others at risk. I also take responsibility to take the necessary action in case of an injury to my son/daughter/ward until the sports insurance policy of St. Julian´s Rugby Club is actuated.
Data protection *
St. Julian´s Rugby Club guarantees confidentiality in the collection and treatment of data provided by athletes and/or in their name by their parents/guardians, in accordance with that established by Law 67/98, of 26 October 2018, concerning the Protection of Personal Data, having met all the required procedures contained therein.
Publication of images *
I agree to images of my son/daughter playing Rugby being posted on the club's website or social media pages.
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