CAERPHILLY DISTRICT JUNIOR RUGBY ASSOCIATION
MONTHLY PERMIT TO PLAY FOR AN ALTERNATIVE RUGBY TEAM
SECTION A
(Section A is to be retained by the permit club – valid only for the specified dates.)
Player’s Name .…………………………………. Registration No………………………
Present Club……………………………………
Permit Club…………………………………….
It is agreed by the Player’s present Club ……………………………. that the Player named above
is allowed to play on permit for ……………………............................. (Club).
This permit is valid for a maximum of 1 month from …………… to ………………
Signature …………………………………………………….( Authorised signatory of Present Club)
Name (Printed)……………………………………………….................................
Position in Club …………………………………………….. Date……………………
____________________________________________________ __________________________
CAERPHILLY DISTRICT JUNIOR RUGBY ASSOCIATION
MONTHLY PERMIT TO PLAY FOR AN ALTERNATIVE RUGBY TEAM
SECTION B
(Section B is to be completed and forwarded immediately to the District Registration
Secretary – It is only valid for the dates specified.)
Player’s Name .…………………………………. Registration No………………………
Present Club……………………………………
Permit Club…………………………………….
It is agreed by the Player’s present Club ……………………………. that the Player named above
is allowed to play on permit for ……………………. (Club).
This permit is valid for a maximum of 1 month from …………… to ………………
Signature …………………………………………………….( Authorised signatory of present Club)
Name (Printed) ………………………………………………..............................................
Position in Club …………………………………………….. Date……………………