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* 1. Parent/Guardian Name

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* 2. Parent/Guardian Email

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* 3. Child/Participant's Name

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* 4. Child/Participant's Age

Date

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* 5. Child/Participant's Sex

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* 6. Has your child ever played rugby before?

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* 7. How did you hear about this event?

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* 8. Please check any/all of the following:

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* 9. If you indicated you would like to learn more about joining a club please enter your postal code so we can connect you with a club near you.

Participants of the event are required to complete a waiver form. To save time from filling out the waiver at the event you can complete the form here.

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