rgu:union - Sports Membership Form

Sports Membership Form

RGU: SPORT 2007/08 MEMBERSHIP FORM

You will need to fill in a form for each sports club you have joined.

Name:
Matric:
Date of birth:	dd/mm/yyyy

Society/Sport Club:

YOUR CONTACT DETAILS
Address:
Mobile Phone Number:
Landline Phone Number:
Contact E-Mail:

EMERGENCY CONTACT DETAILS
Name:
Relationship (Parent/Aunt/etc.):
Address:
Mobile Phone Number:
Landline Phone Number:

MEDICAL INFORMATION

Please inform us of any relevant medical conditions or medication being taken

RGU: UNION will hold this information in strict confidentiality. It will only be accessed in emergencies, and destroyed at the end of the 06/07 session.

Sports Membership Form

RGU: SPORT 2007/08 MEMBERSHIP FORM

YOUR CONTACT DETAILS

EMERGENCY CONTACT DETAILS

MEDICAL INFORMATION