All Abilities Rugby Registration Form

Please feel in the below form to register for an All Abilities Rugby Team

RugbyWA have three amazing clubs with All Abilities Teams, Southern Lions, Perth Bayswater and Wanneroo. The goal is to build an inclusive club setting for all people to enjoy the chance to play rugby and create lifelong friendships. It's safe, fun, and accessible for all abilities and experience levels. We would love you to come down and try rugby and become part of the rugby community.
⁠

Question Title

1. Player Name (Required.)

Question Title

2. Email Address (Required.)

Question Title

3. Phone Number

Question Title

4. Age of player (Required.)

Question Title

5. Details:

Address

City/Town

State/Province

ZIP/Postal Code

Country

Question Title

6. Emergency Contact (Required.)

Name

Email Address

Phone Number

Question Title

7. Club Preference (Required.)

Perth Bayswater Rugby Club

Southern Lions Rugby Club

Wanneroo Rugby Club

Question Title

8. I consent to receive communication from RugbyWA & affiliated clubs (Required.)

Yes

Question Title

9. How did you hear about All Abilities Rugby

Social Media

Shopping Centre Advert

Friend/ Family Member

School

Other (please specify)

All Abilities Rugby Registration Form

Please feel in the below form to register for an All Abilities Rugby Team

Question Title

* 1. Player Name (Required.)

Question Title

* 2. Email Address (Required.)

Question Title

* 3. Phone Number

Question Title

* 4. Age of player (Required.)

Question Title

* 5. Details:

Question Title

* 6. Emergency Contact (Required.)

Question Title

* 7. Club Preference (Required.)

Question Title

* 8. I consent to receive communication from RugbyWA & affiliated clubs (Required.)

Question Title

* 9. How did you hear about All Abilities Rugby

1. Player Name (Required.)

2. Email Address (Required.)

3. Phone Number

4. Age of player (Required.)

5. Details:

6. Emergency Contact (Required.)

7. Club Preference (Required.)

8. I consent to receive communication from RugbyWA & affiliated clubs (Required.)

9. How did you hear about All Abilities Rugby