TeamPages - 2024 Middle School Rugby Spring registration

2024 Middle School Rugby Spring registration

hideYou should not enter any sensitive information on this page such as health data, passwords or social security numbers. If you are being asked or need to provide this information for your registration please contact 901Rugby directly.

2024 Middle School Rugby Spring registration

After you complete this form you will ALSO need to register your player with the USA Rugby https://myaccount.rugbyxplorer.com.au/ as a Youth Player, Rugby TN team name 901Rugby $90 fee is payable online.

*Player Info

Name:

Date of Birth

Phone Number:

*Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

*Mom’s Info

Name:

*Mom’s Email Address:

*Mom Phone Number:

*Dad’s info

Name:

*Dad’s Email Address:

*Dad Phone Number:

*Health Insurance Company

*Group Number

*Policy Number

Liability Waiver

By checking below it is hereby understood that the participant and their parents or legal guardian recognizes the risks associated with RUGBY. Rugby is a contact sport and certain hazards do prevail. RUGBY is an amateur sport and all participation is voluntary. By checking below all parties involved waives any right to file suit and agrees to hold harmless the members, coaches and officers associated with the West Tennessee Conference of the Tennessee Rugby Association, the Mustang Rugby Club, affiliated members OR any other rugby club, union or organization, which may be associated with the program.

*I accept Wavier of Liability

Additional Tennessee Rugby Assoication player registration REQUIRED

All players ALSO need to be registered with the Tennessee Rugby Association at www.TRArugby.org
Register as a West TN MIDDLE SCHOOL Player – team name MUSTANG MIDDLE. The fee is $75 payable online.

or cancel

901Rugby

901Rugby

2024 Middle School Rugby Spring registration

2024 Middle School Rugby Spring registration

Liability Waiver

Additional Tennessee Rugby Assoication player registration REQUIRED

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