Club Membership Form

If you are interested in joining Worthing Rebels please complete the form below.

Application Form for the 2010/2011 Season
Application Form 2010/11 - Players Full Name
Date of Birth
Parent / Guardian Name
Address 1
Address 2
Post Code
Home Telephone Number
Mobile Telephone Number
E-Mail contact
Any other useful information. i.e Current Club

Your details will be passed on to the appropriate Team Manager, who will contact you by e-mail to confirm if we have a space in the squad.

If your application is successful you will be required to provide further personal details and you will have to pay a membership fee.

The fee for the 2010-2011 season (age group Under 7 to Under 18) is £95. This amount includes all match and training fees, kit and insurance.