Membership Form

WORTHING RUGBY FOOTBALL CLUB
MEMBERSHIP APPLICATION FORM 2020/2021
(1st July 2020 to 30th June 2021)

Please note that nobody under the age of 16 may legally become a member of the Club except through Family Membership in the name of one of his/her parents or guardians

Category (Please tick your selection of membership) Price New Renewal
Life Membership £2250 New Renewal
Senior Player (participating in organised leagues – men and ladies) £190 New Renewal
Social Member (to include rugby participation in non-organised leagues including touch rugby) £85 New Renewal
Life Social Member (to include rugby participation in non-organised leagues including touch rugby) **NEW CATEGORY** £650 New Renewal
Family Member (required for all U7 to U18 players) £195 New Renewal
Family Member (U5, U6 player only) £85 New Renewal
Family Member – Girls only (U11, U13, U15 & U18 players) £140 New Renewal
Development & Student player (U17 & U18 who are not covered by a Family membership, those over 19 in full time education and Raiders A’s player) £85 New Renewal

This section to be completed by parents/guardians of players U5 to U18 as family members, senior players, development & student members, life members and social members.

Member Name (Parent) Partners Name
Address (including postcode)
Your Date of Birth
Home Tel
Mobile Tel
E-Mail
Occupation

This section to be completed with details of playing children U5-18

Player Name DOB Sex – M/F School Year Medical Conditions/Disabilities

Additional Playing Children £10 each

Payment Method £
1. Bank Transfer2 GoCardless3. Chq4. Credit / Debit Card
Pay Online - Bank Details: Barclays Bank plc
Name: Worthing Rugby Football Club
Sort Code: 20-98-74
Credit/Debit Card:
Please either telephone or call into the office/bar to pay by credit/debit card.
This form must still be returned to the office.
Please note we cannot accept cash payments at this time.
GoCardless mandate

Seniors & Family only
Completed date:
8 x £
Number: 60313483

Please state your Membership Number if known or full name when paying.


I would like to subscribe to receive information about the club. E-mails are the main form of Club communication and all Club Notices eg for AGMs etc will be sent only by email unless specifically requested by post.

I have read and understood the terms and conditions of membership overleaf and agree to them.

Signed: Dated:

Membership

Membership type Information Cost for 2020/2021
Social A Social member shall be entitled to use the facilities and the benefits of membership of the club and include rugby participation in non-organised leagues and touch rugby. £85
Development/
Student
(Under 17s & U18s, over 19 in full time education and Raiders A’s)
For players between the ages of 16 and 19 on 1st September 2020 who are not covered under a Family membership, and players over 19 enrolled as a full time student of a further education establishment during the 2020-21 academic year (with photographic proof). Development membership is for players playing in the Raiders A’s and other club rugby Development activities if not a member under other categories of membership £85
Family Member
(For Under 7 to Under 18)

A Family member and his or her partner and children, shall be entitled to use the facilities of the club and the benefits of membership. Two of the member’s children under the age of 18 on 1st September 2020, shall be entitled to participate as players in the club’s youth rugby activities between the ages of U5 to U18.

£195

Additional playing children £10 each

Family member
(For Girls)
As above but for up to 2 children who are girls in U11, U13, U15 & U18 sections £140
Family Member (For Under 5 and Under 6) The same Family entitlement as above but for families with only U5 or U6 children playing £85
Senior player men and women A senior player and his or her partner and 2 children, shall be entitled to use the facilities of the club and the benefits of membership. The member but not the member’s partner shall be entitled to participate as a player in the club’s senior rugby activities. Two of the member’s children under the age of 18 on 1st September 2020, shall be entitled to participate as players in the club’s youth rugby activities between the ages of U5 to U18.

£190

Additional playing children £10

Life Social member A life social member conveys for life the entitlements of a social member as set out above. £650
Life member A life member conveys for life the entitlements of a senior player as set out above. £2250

Terms and Conditions of membership

PAYMENT

Membership fees are due annually in advance on 1st July and can be paid by cheque or credit/debit card. To assist Senior Players/Family members wishing to spread their payment, the WRFC may accept payment by monthly instalments which are processed via GoCardless and are e-mail activated. WRFC reserve the right to charge an administration fee of £10 where payments are made by this method. WRFC can also demand payment in full when a GoCardless application is cancelled or rejected or when the member leaves the club during the membership year. Refunds when cancellations are made mid-year are at the discretion of the management committee.

For late payment of subscription renewals the following additional amounts are payable: By the 1st November - £10, By the 1st December - £15 From 1st January 2021 - £20

NOTES

Players who are members enjoy the benefit of the Club’s insurance cover with the RFU in respect of death and permanent disability arising from rugby training or playing, subject to certain limits. There is no loss of earnings cover and members are advised to seek additional cover by their own arrangements if necessary. Further information is available on request.

Social, Family, Senior Player, Social Life and Life Members shall be entitled to attend and to vote at the Club’s Annual General Meeting or any other Special General Meeting. Only one vote per member is permitted and partners and named children are not entitled to vote.

The rights of membership are a privilege which may be withdrawn by the Club’s Management Committee in the event of any disciplinary action being brought against a member.

Please return to the Membership Secretary, Worthing RFC, The Rugby Park, Roundstone Lane, Angmering, West Sussex, BN16 4AX