Hamilton Rugby Club
Junior Membership and Team Subs Form
Season 2016/2017
Details of the Person completing the form
Please tick this box if you are paying
by the
Name
Address
• Cash (Paid in Full)
• Cheque (paid in Full)
• Cheque Reference
Please make cheques payable to Hamilton
Rugby Club
Post Code
Telephone
Each Player must complete the Player Detail
Form to complete Membership and Playing
Registration.
Mobile
Email
For further information go to our memberships section on our website at www.hamiltonrugbyclub.co.uk
Please use the following table to select your membership and subs preference for next season.
SELECT MEMBERSHIP FEES
MICRO P1 - P3 (£121.50) for Individual Player Junior Membership and Subscriptions for the 2016-17 Season.
JUNIOR P4 - U16 (£148.50) for Individual Player Junior Membership and Subscriptions for the 2016-17 Season.
YOUTH U18 (£185.00) for Individual Player Youth Membership and Subscriptions for the 2016-17 Season.
TWO SIBLING (£270.00) for Two Junior Memberships (P1 - U16) and and subscriptions for the 2016-17 season.
THREE (OR MORE) SIBLING (£382.50) for three of more Junior Memberships (P1 - U16) and and subscriptions for the 2016-17 season.
Gift Aid Declaration Under the Gift Aid regulations we are able to benefit from some donations and subscriptions up to a value of 25% of the amount paid. I confirm that
I am a UK tax payer and I want Hamilton Rugby Football Club to treat the above donation and any future donations I may make, to be Gift Aid
donations until I notify the club otherwise.
Apply Gift Aid
Don't Apply Gift Aid
SINGLE PLAYER MEMBERSHIP DETAILS (MICRO, JUNIOR and YOUTH Membership)
Please give details of the player being registered, if you are selecting a family membership please leave this blank and proceed
to the next section
Child Name
D.O.B.
Playing Level
SIBLING MEMBERSHIPS
Please detail the Sibling Name, Date of Birth, and Hamilton Team for all those included in the TWO SIBLING and THREE (OR
MORE) SIBLING Membership Packages
Child 1
D.O.B.
Playing Level
Child 2
D.O.B.
Playing Level
Child 3
D.O.B.
Playing Level
Child 4
D.O.B.
Playing Level
Child 5
D.O.B.
Playing Level
Return Completed forms with payment to (please make cheques payable to Hamilton Rugby Club)
C/O Donald Woodrow Membership Secretary Hamilton Rugby Club 121 Bent Road Hamilton ML3 6PY