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Blackheath Rugby Club
Subscription Fee £250Your full name Your Date Of birth (dd/mm/yyyy) Full Address with PostcodeAddress 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 selectMaleFemaleRelationship to Associate 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 selectMaleFemaleRelationship to Associate 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 selectMaleFemaleRelationship to Associate 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 Associate Membership is for one year from July 1st through to June 30th the following year. An invoice for your associate membership will be sent as soon as your application is received and you must pay in full online, instructions for which will be on your invoice. Please note that no membership cards are issued for Associate Membership. 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of such images are governed by Blackheath's FC Photographic Policy which is here and permission, once given, may be withdrawn at any time in writing to the Hon Secretary and Data Officer, Blackheath FC.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 NoYour 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