Playing Adult Rugby – Club Approval Form

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Club Safeguarding

Has the club appointed a Safeguarding Officer and are their details available on your website? Even where there are no age grade teams, there is a requirement that clubs who have children playing up into the adult game appoint a CSO.
When did the Safeguarding Officer complete the RFU In Touch course? If not yet completed, give date and location of the course applied for (this must be ASAP and no later than in six months’ time)
Has the club adopted the RFU Safeguarding Policy and is it visible on your website?
Has the club completed the RFU Safeguarding Audit on GMS this season?

Key People

Have those in a position of trust in the adult teams, such as Coaches, Captains, Team Managers, 1st Aiders undergone a DBS check through the RFU Safeguarding Department? Please record these people below. It is essential that this list reflects the specific section of the club – Mens, Womens or both – that is applying for Approval.
Please record these people below:*
First Name
Last Name
Role
DBS Number
Expiry Date
 
Use the ‘+’ icon to add multiple people
Will the young person have the opportunity to shower and change separately if they wish?
Can you confirm that the referee and opposition will be informed that there is an under 18 year old in the side?

Declaration

We certify that all the information on this form is correct, that a full risk assessment has been undertaken, that those named have been fully involved in agreeing the application, that parents/adult players across the wider group have been briefed and if approved, agree to play the above players in accordance with RFU Regulation 15 (Age Grade Rugby) and the spirit and values of rugby union.
Club Honorary Secretary/Chairman Name*
Club Honorary Secretary/Chairman Email*
Club Safeguarding Officer Name*
Club Safeguarding Officer Email*

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