Subscription Fee £450
Your full name
Your Date Of birth (dd/mm/yyyy)
Full Address with Postcode
Address Line 1
Address Line 2
Address Line 3
Town/City
County
Postcode
Email Address
Telephone Number
Full name of Child 1
Your child's date of birth (dd/mm/yyyy)
Biological sex (M/F) Please selectMaleFemale

Relationship To Member
Full Address of Child 1 with Postcode (if same, please type "as above")

Address Line 1
Address Line 2
Address Line 3
Town/City
County
Postcode
Full name of Child 2
Your child's date of birth (dd/mm/yyyy)
Biological sex (M/F) Please selectMaleFemale

Relationship To Member
Full Address of Child 2 with Postcode (if same, please type "as above")

Address Line 1
Address Line 2
Address Line 3
Town/City
County
Postcode
Full name of Child 3
Your child's date of birth (dd/mm/yyyy)
Biological sex (M/F) Please selectMaleFemale

Relationship to Member
Full Address of Child 3 with Postcode (if same, please type "as above")

Address Line 1
Address Line 2
Address Line 3
Town/City
County
Postcode
Membership is for one year from July 1st through to June 30th the following year.

Please note that the adult holds membership of the Club, and not the youth player(s).
All youths will be attached to the account of the person above. The details of the child(ren) will be forwarded to the relevant head of their age group for them to communicate training, fixtures and other events.

An invoice for your membership will be sent as soon as your application is received and you may pay in full online or monthly by Direct Debit.
Direct Debit will run from September 1st for 10 months. Please note there will be an administration charge to use the Direct Debit facility.
If you choose to pay by Direct Debit, you will enter into a credit agreement with Premium Credit, an authorised credit broker. Blackheath FC does not provide credit facilities and is not a credit broker.
Premium Credit will pay your membership fee to Blackheath FC in full and then your agreement for monthly payments will be with Premium Credit.

All members can collect a membership card from the Club and this can be used to make payments for bar purchases at Well Hall and Hervey Road when funds are added to your Club account.


Would you like to pay in full or monthly using Premium Credit?  One payment
Monthly using Premium Credit
Photography and use of video


The RFU positively encourages parents and spectators to take photographs of participants involved in rugby union to celebrate the ethos and spirit of the sport.

However, Blackheath FC and the RFU recognise that parents/guardians may have many reasons for not wishing their child(ren) to be filmed or photographed, and we fully respect this.

Therefore, we seek active consent from parents/guardians at the start of their membership for their child(ren) to be photographed/filmed while participating in rugby activities.

The taking and usage of such images are governed by Blackheath's FC Photographic Policy which is here and permission, once given, may be withdrawn at any time in writing to the Hon Secretary and Data Officer, Blackheath FC.

Declaration:
I hereby consent for the child(ren) in my care as parent or guardian to be photographed or filmed while participating in rugby activities, subject to the constraints set out in Blackheath FC's Photographic Policy.




Name of Parent/Guardian
Consent Yes
No
All members (adults only) will be added to a mailing list to keep you in touch with information about Club news, training, playing, newsletters etc.
Your data and our use of it is governed by our Privacy Policy which is here.


If you do not wish to be kept up to date with Club news and other important information, please check this box:
Confirm