West of Scotland F.C. Membership & Permissions & Form
Please complete this form to the best of your knowledge. This form should be completed by the patent / guardian of players U18. All information submitted will be stored securely and shared only to head coaches and first aiders. You can access your information by contacting the club development manager - westrugbydm@gmail.com
Player One Information
The following information is about the player being signed-up to train and play rugby at West.
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Year
Please Select
Pre-School (3-5 years old)
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Primary 7
S1
S2
S3
S4
S5
S6
Left school
School Year from August 2024
School Attending
Gender (Please put you child's gender)
Scottish Rugby Gender Policy: https://scottishrugby.org/wp-content/uploads/2023/01/Policy-2023-FINAL.pdf
Has your child played rugby before?
Yes
No
Is your child returning to West from last season?
Yes
No
Medical Information
The following section covers medical conditions and providing first aid if needed.
Please can you give us relevant medical information for your child?
GP Contact and address
Add Additional Child(ren)
*
Yes
No
Back
Next
Second Player Sign-Up
If you only have one player to sign-up please continue to Parent/Guardian Information.
Player Information
The following information is about the player being signed-up to train and play rugby at West.
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Year
Please Select
Pre-School (3-5 years old)
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Primary 7
S1
S2
S3
S4
S5
S6
Left school
School Year from August 2024
School Attending
Gender (Please put you child's gender)
Scottish Rugby Gender Policy: https://scottishrugby.org/wp-content/uploads/2023/01/Policy-2023-FINAL.pdf
Has your child played rugby before?
Yes
No
Is your child returning to West from last season?
Yes
No
Medical Information
The following section covers medical conditions and providing first aid if needed.
Please can you give us relevant medical information for your child?
GP Contact and address
Third Player Sign-Up
If you only have one player to sign-up please continue to Parent/Guardian Information.
Player Information
The following information is about the player being signed-up to train and play rugby at West.
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Year
Please Select
Pre-School (3-5 years old)
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Primary 7
S1
S2
S3
S4
S5
S6
Left school
School Year from August 2024
School Attending
Gender (Please put you child's gender)
Scottish Rugby Gender Policy: https://scottishrugby.org/wp-content/uploads/2023/01/Policy-2023-FINAL.pdf
Has your child played rugby before?
Yes
No
Is your child returning to West from last season?
Yes
No
Medical Information
The following section covers medical conditions and providing first aid if needed.
Please can you give us relevant medical information for your child?
GP Contact and address
Back
Next
Parent / Guardian Information
This section should be completed with the information of the main contact for the player(s) being signed up.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Relation to Child
*
Secondary Contact Person
In the event you can't be contact who should be contact next?
Name
*
First Name
Last Name
Contact Number
*
Relation to Child
*
Back
Next
Payment
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( X )
Family Membership - (2 Adults + 2 Playing Children U16)
£
275.00
Family Membership - (2 Adults + 1 Playing Child U16)
£
180.00
Additional Playing Child (Added to the 2 + 2 Family Membership)
£
75.00
Junior Playing Mini, P1 - P7
£
135.00
Junior Playing Midi, S1 - S4 (U-13 to U-16)
£
160.00
I give the Club permission to use photos of my child playing and training at West for social media posts or on the clubs website as well as promotional material (Posters/fliers)
*
Yes
No
I give West of Scotland FC coaches and first aiders permission to provide first-aid if required on my child(ren)
*
Yes
No
Submit
Should be Empty: