PART 1 - To be completed by the Player’s Parents/ Guardian and submitted to the
Player’s  current Club.
Players Name...................................................................................... Date of Birth .....................
Address …………………………………………………………………………………………………….   ....................................................................................................................................................……
Tel No. ............................................................... Registration No. ................................................ Present Club........................................................... Proposed Club ..............................................
Reason for Transfer........................................................................................................................
 ........................................................................................................................................................
 ........................................................................................................................................................
Parent/ Guardian’s Signature ...................................................................... Date ___________
                                                                                                                                                                
 PART 2 - To be completed by the Player’s Present Club and returned to the
 Parents/ Guardian within 7 days of an application being received, (Date received_______)
The transfer, as requested above, *is approved as from _____________________(Date)
  *is not agreed because:
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Signature .......................................... Name .................................................(Print) Date________
Position held in Club .............................................................Present Club ..................................
                                                                                                                                                                
 PART 3 Appeal - to  be completed by Parent/ Guardian and forwarded to the District
 Registration Secretary within 2 days of being notified that the transfer request has
 been refused.   (Date received by District Registration Secretary ________________)
I wish to appeal against the decision of ..............................RFC not to allow my child’s
 transfer request as set out in Part 1 above.
Will you please consider and advise of  your decision.

Signature ...........................................Name ........................................(Print) Date____________
                                                                                                                                                 ________
PART 4 To be completed by the District Registration Secretary and returned to the
Parent/ Guardian within 7 days of submission. A copy must be sent to the Present Club
for their information. (Date received ________________)
The transfer has been approved from _______________(Date) / has not been approved.*
*( delete as necessary)
Reasons (if any) ........................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
Signature ...........................................Name..............................................(Print) Date_________
(District Registration Secretary)
__________________________________________________________________________        __
PART 5 To be forwarded to Chief Executive of the WRU, with covering letter and supporting papers  if not approved by the local District Association.