Application for Micro/Mini Membership

Please confirm your membership category by ticking the appropriate box(es) below.

Membership Categories

P1 – P3 £30 P4 - P7 £40 3 Free Trials

Total subscription enclosed: £

I enclose a donation of £ towards East Renfrewshire Community Rugby Trust.

(The East Renfrewshire Community Rugby Trust is a charity registered in Scotland, no: SC038831)

How did you hear about Whitecraigs Rugby Club

Development Officer Internet/Club Website Recommended by Member

Other If other please state.....................................................................................

Would you be willing to volunteer as a Coach, First Aider or in any other capacity?

YES Please specify NO

Details of 1^st child
Surname	Forename(s)
Address (only if different)	Membership category (please circle) [Micro] [Mini]
Date of birth	e-mail address
Details of 2^nd child ^*
Surname	Forename(s)
Address (only if different)	Membership category (please circle) [Micro] [Mini]
Date of birth	e-mail address
Details of 3^rd child ^*
Surname	Forename(s)
Address (only if different)	Membership category (please circle) [Micro] [Mini]
Date of birth	e-mail address

For office use only
Date received	Subs enclosed
Date acknowledged	Card number
Date approved	Registration number

All information given will be treated as confidential with only Names and DOB given to The Scottish Rugby Union to register and insurance them.

All Applications are subject to the constitution and by-laws of Whitecraigs Rugby Club.

Mini & Micro Rugby @ Whitecraigs