The club membership form for the Senior Club is below. We are working on providing a downloadable version but in the meantime you can copy the form below into a Word document and print and forward to our membership secretary Rhys Hughes or contact Rhys and ask for a form.
Rhys Hughes, 85 Mwrog St, Ruthin, LL15 1LB. e-mail Rhys@p-a-group.com
Clwb Rygbi Rhuthun - Ffurflen Aelodaeth
Ruthin Rugby Club - Membership Form
I would like to join Ruthin Rugby Football Club, Cae Ddol, Ruthin. I understand that Ruthin Rugby Football Club, its servants, agents or employees are not under any liability, whatsoever for loss of property, accidents or injuries however caused during the course of spectating, training, preparation or matches played at Ruthin Rugby football Club or any other ground.
Section A (to be completed in BLOCK CAPITALS)
Home Tel ____________________________
Mobile Tel ____________________________
Playing Position __________________________________________
Previous Club __________________________________________
Section B (Medical History – Players Only)
Do you suffer from any medical conditions Yes / No
If Yes, please advise ___________________________________________________________
Section C (Membership Type)
I wish to apply for the following membership
Full Playing £50 Youth / Student £30
Full Playing (S/O) £45 Junior £40
Full Non-playing £40 Patron £100
Family Membership: 1 playing child £50 / 2 playing children £75 / 3 playing children £90
I wish to pay by Cash /Cheque /Standing Order (Please complete Section D)
Section D (Standing Order Form)
I wish to pay annual membership subscription by standing order.
To: _____________________________ (Name of Bank) ______________________ (Branch)
I hereby authorise you to pay from my account _________________________ (Name of account)
Sort Code _________________ Account No____________________
The sum of £_____on the 1st ____________ 2013 and thereafter every year to Ruthin Rugby Club at Barclays Bank, North Wales Central ( Sort Code 20-25-76, Account No 90788783).
Signed __________________________________ Date ___________________
Completed forms with payment to be handed to your team manager or send to Rhys Hughes, 85 Mwrog Street, Ruthin. LL15 1LB.
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