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Hitchin Rugby Limited Membership Form ( Please note that this is not an RFU Registration Form )   Firstname: Lastname: Nickname: Address:     Town: County: Post Code:   Home Tel: Work Tel: Mobile:   eMail:   Preferred Playing Position: Alternate Playing Position: Date of Birth: Employer: Profession:   Emergency Contact: Relationship:   Notes / Comments / Medical Condition (asthmatic, etc):    Prior Clubs and Playing Experience    Membership Category: Senior PlayerJunior PlayerStudent FamilyAssociateWomens Rugby        Please note, by submitting this form you agree for these details and these only to be held on a computer database. They will not be passed to any other organisation

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Hitchin Rugby Limited, King George V Playing Fields, Old Hale Way, Hitchin, Hertfordshire SG5 1XL England, Charity No. 1159772 enquiries@hitchinrugby.com T: +44 (0)1462 432679