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Childs Name*
First Last
Date of Birth*
Month
Day
Year
Gender*
Name of School*
Preferred Academy Center*
Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Number*
Email*
Enter Email Confirm Email
Rugby Programmes*
Register to join any of our rugby training programmes. Our monthly subscription fee not only covers your weekly training sessions , but also includes rugby specific nutrition, skills, strength and conditioning sessions by industry leading professionals. Cancellation can be affected with 1 months notice.
Apparel Size*
Total
R0.00
Consent*
I, the parent/guardian of the Indemnifying Party, understand that the Activity may create certain risks to persons that can result in physical injury. I further understand that the Indemnified Party, its officers, employees and coaches will not be and/or is not responsible for any injuries, property damage or liability that may arise from the Activity. I further assume full responsibility for the decision, and the consequences thereof, to allow my child/the minor (the Indemnifying Party) to take part in the Activity as set forth herein. I hereby agree that the above information is true and that there are no other conditions that I am aware of that may affect my child from training or playing. I also agree to inform the Coach of any illness, condition or injury that may occur hereafter.
I agree to the privacy policy.

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GET IN TOUCHWE’D LOVE TOHEAR FROM YOU.