2023/24 Islay Rugby Club - Minis Membership Form

2024/25 Islay Rugby Club - Minis Membership Form

Please Note: you must first sign up your children for a SCRUMS account at scrums.scottishrugby.org before applying for Islay RFC membership as a SCRUMS ID is required.
Parent/Guardian Details
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Mobile*
Parent/Guardian Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Child 1
Gender*

MaleFemalePrefer Not To Say
Name*

First NameLast Name
Date Of Birth*

Day 00Month 00Year 0000
SCRUMS ID*
6 digits - You can find this on the 'My Profile' page on your SCRUMS online account. www.scrums.scottishrugby.org
Does this child have any medical conditions, allergies or medications? Please proved below.
Child 2
Gender

MaleFemalePrefer Not To Say
Name

First NameLast Name
Date Of Birth

Day 00Month 00Year 0000
SCRUMS ID
6 Digits - you can find this on the 'My Profile' page on your SCRUMS online account. www.scrums.scottishrugby.org
Does this child have any medical conditions, allergies or medications? Please proved below.
Child 3
Gender

MaleFemalePrefer Not To Say
Name

First NameLast Name
Date Of Birth

Day 00Month 00Year 0000
SCRUMS ID
6 Digits - you can find this on the 'My Profile' page on your SCRUMS online account. www.scrums.scottishrugby.org
Does this child have any medical conditions, allergies or medications? Please proved below.
Do you give Photo/Video Consent for your child/children?*

YesNo
Signature*

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1 Child - Mini Annual Membership (Ages 8-11)Membership allows Mini members to participate in rugby training that provides an introduction to rugby through a fun and inclusive environment, where the focus is on participation, enjoyment and fundamental skills.
£25.00

2 or more children - Additional ChargePlease select this option if you have more than 1 child. 2nd child is £15, 3rd is free
£15.00

Total

£0.00
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2024/25 Islay Rugby Club - Minis Membership Form