Youth Rugby Registration | Rugby Academy SA

Childs Name*

First Last

Date of Birth*

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

Youth Rugby Programme*

The Youth Rugby programme builds on goals and the skills developed in the earlier programmes and will focus on the 15-18 and 18-21 age groups. We offer sessions on Tuesdays, Thursdays and Saturdays.

Once-Off Registration Fee*

Your once-off registration fee includes a free Rugby Academy SA Rewards Card.

Price: R0.00

Apparel Size*

Select additional Apparel to purchase

T-Shirt
Shorts
Hoodie

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 agree to the privacy policy.

Registration

Imhoff | Somerset West | Hermanus | Sunningdale | Sandown Institute

REGISTRATION – YOUTH RUGBY PROGRAMME (15-18 and 18-21 Years)

SATURDAYS

TUESDAYS AND THURSDAYS

3 DAYS PER WEEK

REGISTRATION FORM

State of the Art Academy Centres

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