2022/23 Islay Rugby Club - Senior & Junior Player Membership Form
Please Note: you must first sign up for a SCRUMS account at scrums.scottishrugby.org before applying for Islay RFC membership as a SCRUMS ID is required. For Non-Player membership please apply using the 2022/23 Non-Player Membership Application.
Gender
*
Male
Female
Prefer Not To Say
Name
*
First Name
Last Name
Email
*
example@example.com
Date Of Birth
*
-
Day 00
-
Month 00
Year 0000
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SCRUMS ID
*
5 or 6 digits - You can find this on your 'My Profile' page on your SCRUMS online account. www.scrums.scottishrugby.org
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Mobile
*
Emergency Contact Name
*
Full Name
Emergency Contact Mobile
*
To gain a better understanding of how to move the club forward please select from the following statements ALL which apply to you.
*
I would like to put my name forward for team selection. Contact Rugby
I would like to put my name forward for team selection. Touch Rugby
I would like to ONLY participate in training. I DON'T want to be selected for the team
I would like to participate in more social events through the club
My Products
*
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Senior Annual Membership (Age 18+)
2022/23 Annual Membership to Islay Rugby Football Club for members aged 18+ who actively take part as a player in games or player in training.
£
45.00
Junior Annual Membership (Ages 12-17)
2022/23 Annual Membership to Islay Rugby Football Club for U18 members who actively take part as a player in games or/and training.
£
25.00
Submit & Pay
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