CAMBOURNE EXILES RFC
Member Contact Information Submission Form
Contact Information is
required
from every player
Fields marked with
*
are required.
Full Name
*
Address (line 1)
Address (line 2)
Address (line 3)
County
Postcode
Email Address
*
Phone Number (home)
*
Phone Number (mobile)
*
If you'd like to inform the club of any relevant medical issues / blood group, etc, please complete this section
Emergency Contact #1
Name
*
Phone Number
*
Emergency Contact #2
Name
Phone Number
Membership Type Required?
Senior / Associate / VP
Other Comments
Please click "Submit" only once - it may take several seconds to process your information
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