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BARA Membership Form

If you are interested in becoming a member of BARA then please fill in the following form, giving as much information as you can.

If you play rugby and interested in the playing membership then please fill in the player membership form. You do not need to fill this form.

Personal details
   
First name
Surname
   
Address
 
 
City
Postcode
Country
   
Membership Type
   
DOB (dd/mm/yy)
Place of Birth
Nationality
Ethnic Origin
Home Telephone (please include dialling code)
Work Telephone (please include dialling code)
Mobile (please include dialling code)
   
Email
   
Comments
   
Where did you hear of BARA?
   
 
Please subscribe me to receive email communications from BARA featuring latest news, upcoming events and FREE rugby coaching sessions, BARA member profiles and much more.
   

The information collected above is used solely to implement our membership/contact system and is not disclosed to any third party or used for any other purpose.

CRB checks are carried out on all BARA members who deal with children.

   
 
 
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