Afrigter Registrasies
Stuur copie van sertifikaat na registrasies@dragonsrugby.co.za!

Let wel :
Email address : Die adres word gebruik om die registrasie ontvangs bewys na U toe te stuur , vul nogsteed adres in al is dit dieselfde as E-Pos.

Email address *
Ouderdom : *
Naam : *
Your answer
Van : *
Your answer
Boksmart# :
Your answer
Verval Datum :
MM
/
DD
/
YYYY
IRB/WR Level 1 Of 2 [Jaar] :
Your answer
Kontak Nommer : *
Your answer
E-Pos : *
Your answer
Hemp Grootte : *
Aanwysing : *
Klub : *
A copy of your responses will be emailed to the address you provided.
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