2023/24 Islay Rugby Club - Minis Membership Form

2025/26 Islay Rugby Club - Minis Membership Form (01/08/25 - 31/07/26)

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
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
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
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.
YesNo
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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.

£30.00

Additional Sibling (Discount of £10 per sibling)
Siblings are additional £20 per sibling. Details of children must be submitted in the form above.

£20.00 Quantity

Total

£0.00
Should be Empty:

2025/26 Islay Rugby Club - Minis Membership Form (01/08/25 - 31/07/26)