Mini’s & Junior’s Registration Please fill out the details below and click submit. Any issues, please email Membership@StDavidsRugby.com Player Details * First Name Last Name Date Of Birth * MM DD YYYY WRU Registration Number If already registered with the WRU. New players see players pack for WRU Registration details Doctor's Name: Doctor's Address: Medical Information: Please detail all important medical information that the Club should be aware of (allergies, epilepsy, asthma, diabetes etc) Parent's/Guardian's Details * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile Phone (###) ### #### Email This wil not be used for any other purposes other than directly connected to the Club Please indicate consent to each of the following statements by ticking the boxes regarding code and conduct for your child: I consent to photography or videoing of my child's involvement in the coaching/playing of rugby. I understand that images may be published/printed on website or promotional material including local press and may be used for training purposes with other WRU members. I confirm I agree to the spirit of the Parents Code of Conduct and will abide by it (See Players Pack on Spond for all Codes Of Conduct) I confirm that I have explained the Players Code Of Conduct to my chid and that they and I agree that they will comply with it I understand that in the event of any injury or illness, all reasonable steps will be taken to contact me to deal with that injury/illness appropriately, and it is my responsibility to inform coaches/club officials of any known medical conditions that my child has throughout the season I understand that when attending matches or training, my safety and that of any non-participating child/ren in my charge are my responsibility I understand that the Coaches and the Minis and Juniors Section will communicate important information about training/fixtures/events/the Club etc with me via closed group communication channels. The Club primarily uses a media group on the 'Spond' App. You will need to download it from the App Store and enter the group code: SXMBS to join Please type your name to acknowledge these Mini & Junior Family Membership Fees * Membership Fees are payable in advance for the season and must be received by 1st October 2023 in order to train and play because of insurance. All fees contribute towards post match food, coaching and refereeing courses, insurance, first aid courses and DBS checks as well as the upkeep of the club and grounds. Membership includes: Post-Match Player Meals at Home Games. Players to be covered under the WRU Insurance Scheme. I agree Indicate Level Of Player/Family Membership Required 1 Playing Child £25 (child detailed above) 2 Playing Children £45 3 Playing Children £60 Name and Age Group of Playing Children Payment Method * All payment requests for membership this season will be made to parents via Spond. Following the return of this player registration form parents not already on the Spond group will therefore need to download the App and using group code SXMBS register yourself using your name as it appears on this form. It is useful to enable notifications in the app so you are alerted to team messages. Following registration you will receive a request for payment of player membership via Spond at the level you have indicated above. (1/2/3 player membership) and will need to complete payment by the 1st October 2023 in order for your child/ren to be eligible to play and train. Payments through Spond require the entry of card details but these are not stored and the payment processor is Stripe, which has the highest PCI-certification for security. I agree Submitted, thank you!