RCFC Youth Membership Form 2026

RCFC Youth Membership Form 2026

Please fill out the form carefully to register your child for RCFC activities.
Junior Cricket & Football Membership Form

Welcome to Rainham Cricket & Football Club. This Junior Membership Form should be completed by the parent or legal guardian of any player under the age of 18 and must also be signed by the player.

Please complete this form and by 1st April 2026 for those playing cricket or 1st August 2026 for football. Please also pay the fee directly into the club account (details below) by this date.

Classes of Membership and Annual Subscriptions for 2026 only

Junior Single Membership	£70
Junior Membership for 2nd additional sibling	£60
Junior Membership for 3rd additional sibling	£50
Junior Membership for 4th additional sibling	£40

Please pay the membership fee into the club account with the child’s name as a reference:

Name: Rainham Cricket Club

Account number: 65815625

Sort code: 08-92-99

We will also use this information to ensure that you are kept informed about events and information concerning Rainham Cricket & Football Club.

Section 1 – Child Personal Details
Youth First Name*
Youth Last Name*
Preferred Name
Date of Birth*

DayMonthYear
Date
Gender
Address Line 1
Address Line 2
Town/City
Postcode
Name of School/College
Section 2 - Parent Contact Details
Parent/Guardian Name*
Parent/Guardian Relationship to child*
Address Line 1
If as above leave blank
Address Line 2
If as above leave blank
Town/City
If as above leave blank
Postcode
If as above leave blank
Parent/Guardian Phone*
Parent/Guardian Email*
example@example.com
Section 3 – Emergency Contact Details
Emergency Contact Name*
Emergency Contact Relationship to Youth*
Emergency Contact Phone*
Section 4 - Sporting Information
Has the child played football/cricket before?
Primary SchoolSecondary SchoolSpecial Educational Needs SchoolClubCountyLocal Authority Coaching SessionsOther
Section 5 - Health Information
Current Medications
Accessibility or Support Requirements
Section 6 : Medical Information
Name of Dcotor/Surgery
Doctor/Medical Practice Phone
Please detail below any important medicalinformation that our coaches/junior coordinator should be aware of (e.g.,epilepsy, asthma, diabetes, current medication, injuries etc.)
I give my consent that in an emergency the club may act in my place, (in loco parentis), if the need arises for the administration of emergency first aid and / or other medical treatment which in the opinion of a qualified medical practitioner may be necessary. I also understand that in such an occurrence all reasonable steps will be taken to contact me as the relevant parent / legal guardian, or the alternative adult I have named in section 3 of this form.
I confirm that to the best of my knowledge, my child / the child in my care does not suffer from any medical condition other than those detailed above.
Section 7 - Data Protection
The Club will use the information provided on this Membership Form (together with other information it obtains about the player) to administer his/her cricketing/football activity at the Club and in any activities in which he/she participates through the Club and to care for and supervise activities in which he/she is involved.

In some cases, this may require the Club to disclose the information to County Boards, Leagues and to the England and Wales Cricket Board/Football FA. In the event of a medical issue or child protection issue arising, the Club may disclose certain information to doctors or other medical specialists and/or to police, children’s social care, the Courts and/or probation officers and, potentially to legal and other advisers involved in an investigation.

As the person completing this form, you must ensure that each person whose information you include in this form knows what will happen to their information and how it may be disclosed.

●       By returning this completed Junior Membership Form, I agree to my child / the child in my care taking part in the activities of Rainham Cricket & Football Club.

●       I confirm that I have legal responsibility for the child named in section 1 above, and that I am entitled to give this consent.

●       I understand that I will be kept informed of activities at Rainham Cricket & Football Club – for example details of times and transport etc.

●       I understand that in the event of injury or illness all reasonable steps will be taken to contact me / the alternative contact, and to deal with that injury/illness appropriately.

●       I confirm that to the best of my knowledge all information provided in this form is accurate and I will inform the club of any changes to this information in a timely manner.

●       I confirm that I have received a copy of the club’s Code of Conduct for Members and Guests and agree to abide by it.

●       I have read and understood the club’s Privacy Notice and understand how the club will use my information.
I give my consent to the Rainham CC Media Committee to use photographs taken during cricketing & Football activities in publicity documents, in the clubhouse and on thewebsite/social media (i.e facebook/Instagram and flyers etc).
I agree to follow the RCFC youth code of conduct as explained in the information text.
Section 8 -Signatures
Parent/Guardian Name (Block Capitals)*
Date (Parent/Guardian Signature)*

DayMonthYear
Date
Parent/Guardian Signature*
Should be Empty:

RCFC Youth Membership Form 2026

Junior Cricket & Football Membership Form

Section 1 – Child Personal Details

Section 2 - Parent Contact Details

Section 3 – Emergency Contact Details

Section 4 - Sporting Information

Section 5 - Health Information

Section 6 : Medical Information

Section 7 - Data Protection

Section 8 -Signatures