Player Information Form

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PLAYER INFORMATION FORM
IMPORTANT: COPY TO BE RETAINED BY ADMINISTRATOR IN TEAM FOLDER
Forenames: ________________________________________
Surname: __________________________________________
D.O.B.: ____________________
Address: _____________________________________________________________________
_____________________________________________________________________________
Post Code: ____________________
Home Phone: __________________________ Email:__________________________________
Mobile(1): ______________________________________________(state which parent/guardian)
Mobile(2): ______________________________________________(state which parent/guardian)
Parent/Guardian Names: _________________________________________________________
ALTERNATIVE EMERGENCY CONTACT: Name: _____________________________________
Relationship to child: ________________ Phone Number(s)_____________________________
School Attended: _______________________________________________________________
Are there any issues that you would like the club/administrator/coach/First Aid staff to be aware of
e.g. Medical, physical, dietary, etc.
______________________________________________________________________________
SERVICES TO YOUR CLUB
Norwich Rugby Club is a volunteer club and can only function with the effort and contribution of its members. Youth
and Mini parents are as integral to this as the members of the senior section. If you have any skills of services that
you can offer, please outline them below. You will not be taken advantage of but the more you get involved in club life,
the more you will get out. A willingness to just help occasionally will be most appreciated.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I am/am not (please delete as appropriate) prepared for the club to hold my details on a database purely for club
administration purposes. I understand that player details will be held on the RFU central registration database known
as ʻRugby Firstʼ Details will not be disclosed to any third party by Norwich Rugby Club except for the necessary
aforementioned RFU registration process.
Signed:_______________________________Parent/Guardian
Date:________________
Team Administrators: Please photocopy this completed document, keep a copy in your files and file the other
in the yellow folders in the office.

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