Junior

Membership for one person under the age of 18.

Complete your membership before 30th September to receive a £10 discount. Apply Coupon Code EARLYBIRDPRFC

Terms:

£50 / Year

First Name: First Name Required

Last Name: Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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Zip/Postal Code:* Zip/Postal Code is Required

Date of Birth:* Date of Birth is Required

Yes, my child may take part in organised rugby activities and/or events with Penicuik Rugby Football Club. Yes, my child’s details may be entered into the Scottish Rugby Union’s player registration database NOTE: this is an SRU requirement for all youth players. Yes, the details I have supplied above may be shared with relevant officials and representatives of Penicuik Rugby Football Club (i.e. coaches and Youth Convenor) in order that they may be used to inform me of rugby activities and to contact me in the event of an emergency. * My child may be photographed and/or video recorded by authorised individuals during club activities, and those photographs and/or videos may be used by Penicuik Rugby Football Club as appropriate.:* Yes, my child may take part in organised rugby activities and/or events with Penicuik Rugby Football Club. Yes, my child’s details may be entered into the Scottish Rugby Union’s player registration database NOTE: this is an SRU requirement for all youth players. Yes, the details I have supplied above may be shared with relevant officials and representatives of Penicuik Rugby Football Club (i.e. coaches and Youth Convenor) in order that they may be used to inform me of rugby activities and to contact me in the event of an emergency. * My child may be photographed and/or video recorded by authorised individuals during club activities, and those photographs and/or videos may be used by Penicuik Rugby Football Club as appropriate. is Required

Yes No

Please enter parent / carer details. These will be used as the emergency contact details for your child. Parent / Carer Full Name:* Please enter parent / carer details. These will be used as the emergency contact details for your child. Parent / Carer Full Name is Required

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Junior

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