Junior Registration Form 2016 - viewFriend/word of mouth ... Photography and Filming Consent Form. Maroochydore Rugby Union Club is seeking your consent to use photographs of you/your child for ...

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    12-Mar-2018

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Junior Registration Form 2016Under 6/7 Junior Registration

$180

Under 8 - U13 Junior Registration

$250

Under 16 Junior Registration

$200

Sibling discount $10 off 2nd child $20 off 3rd child

Personal Information

New player Returning player

First name

Last name

Date of Birth

/ /

Gender

Male Female

School

Home address

Suburb

Postcode

Mobile Phone

Home Phone

Email address

Emergency Contact

Contact 1Contact 2

Contact name

Relationship

Address

(if different to above)

Phone

How did you hear about our sign on day?

Newspaper

School

Facebook

Email from club

Radio

Friend/word of mouth

Signage

Other ____________________________________

We are rely on the support our generous sponsors. Are you a member of their clubs?

Maroochy Surf Club

Maroochy RSL

Payment Details EFTPOS

$

CASH

$

DIRECT DEPOSIT

$

Account Name: Maroochydore Rugby Union Club Inc

BSB: 124161

Account Number: 21554022

Use players name as reference

Payment Date

Notes

Get Started Voucher Number

Rugby Link Entry (FOR OFFICE USE)Date entered

Rugby ID

Payment Verified

Online registrations

Complete registration form, including photography consent form

Pay Registration fees by Direct Deposit with players name as reference

Email completed forms to the Junior Registrar at debderwin@gmail.com

Training starts Thursday 18 February

Photography and Filming Consent Form

Maroochydore Rugby Union Club is seeking your consent to use photographs of you/your child for promotional purposes in marketing materials and on its website and social media page. Any images will not include players names.

Maroochydore Rugby Union Club will take all steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform the Maroochydore Rugby Union Club immediately.

Any permission given is for the duration of the players involvement with the Club unless permission is withdrawn by a parent/caregiver in writing.

Consent Information

To be completed by Parent/Caregiver:

I consent to the Maroochydore Rugby Union Club photographing or filming my child (Child's name: _________________________) and using these images for promotional purposes.

Print Name of Parent/Caregiver

Signature of Parent/Caregiver

Date

To be completed by Child/Young person:

I, ___________________________________________________, consent to Maroochydore Rugby Union Club photographing or filming my involvement in sporting activities and using these images for promotional purposes.

Print Name of Child/Young Person

Signature of Child/Young Person

Date

2

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