2024/25 Islay RFC - Senior & Junior 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 Supporter membership please apply using the 'Supporter Membership Application Form'.
Gender
*
Male
Female
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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
Please Select
Afghanistan
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Algeria
American Samoa
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Angola
Anguilla
Antigua and Barbuda
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The Bahamas
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Chad
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Christmas Island
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Eritrea
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Falkland Islands
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Fiji
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France
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Gabon
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Guinea
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Hong Kong
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Iran
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Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
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North Korea
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
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Netherlands
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New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
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Northern Mariana
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Oman
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Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Wallis and Futuna
Western Sahara
Yemen
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Other
Country
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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2024/25 Senior Annual Membership (Age 18+)
2024/25 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
2024/25 Junior Annual Membership (Ages 12-17)
2024/25 Annual Membership to Islay Rugby Football Club for U18 members who actively take part as a player in games or/and training.
£
25.00
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