1.Name of child

2.Is your child currently playing boy's or girl's rugby?

Girls

Boys

3.Age Group Playing at in 2026

U12

U13

U14

U15

U16

4.Preferred Playing Positions

5.Child's date of birth

6.Community Club playing at

7.Parent/Guardian Name

8.Parent/Guardian email address

9.Parent/Guardian contact number

10.Does your child have any medical conditions we should know about, if so please state.

11.Do we have permission to take photos, videos and publish these on club media?