Club Membership Application
Exiles Rugby Football Club
Name
*
First Name
Last Name
E-mail
Phone Number
Format: (000) 000-0000.
Membership Type (Please select 1)
Social Section Member/Supporter (Includes Old Boys) $60 Club Membership
Men's Section Player Member $60 Club Membership, $100 Section Fee
Women's Section Player Member $60 Club Membership + $0 Section Fee
Men's Regular Player Club Associate $85 - this category does not possess Club voting rights, or opportunity to hold an elected position)
Men's 7s (Spring/Summer) Dues TDB
Have you ever been suspended or ejected from a club's membership before? If "Yes", please explain. If "No", leave blank.
This should include any suspensions from USA Rugby affiliated Union Clubs, or any World Rugby governed Unions/Clubs.
I acknowledge and understand that I am applying to join a private non-profit membership club, whose primary operational objectives are as a charitable social club.
Yes
No
I agree to abide by the Bylaws & Code of Conduct of the Exiles RFC.
Yes
No
As a member (or associate) of the Exiles RFC I agree to represent the Club and the sport of Rugby Union in a positive manner - both inside and outside of our community.
Yes
No
As a member (or associate) of the Exiles RFC I agree to uphold the greatest of rugby traditions: exhibiting camaraderie, fidelity and respect toward fellow Union (GRU) Clubs, their members, executives, and match officials.
Yes
No
Signature
Apply for Membership
Apply for Membership
Should be Empty: