Belmont Rugby - 2019 Girls Sign Up
Which team are you signing up for? *
Enter your LAST NAME *
ex: Berens or Wu
Your answer
Enter your FIRST NAME *
ex: Timothy or Allison
Your answer
Enter your GRADE *
Enter your EMAIL ADDRESS: *
This is the email address at which YOU will receive team emails - it will be added to the Belmont Rugby Team Email List.
Your answer
Enter your PARENT/GUARDIAN #1's name: *
Your answer
Enter your PARENT/GUARDIAN #1's phone number: *
Please share the number at which a guardian can be reached in case of an emergency.
Your answer
Enter your PARENT/GUARDIAN #1's email address: *
This email address will be added to the Belmont Rugby Family Email List.
Your answer
Enter your PARENT/GUARDIAN/EMERGENCY CONTACT #2's name: *
Your answer
Enter your PARENT/GUARDIAN/EMERGENCY CONTACT #2's phone number: *
Please share the number we will ONLY use if we can't reach your parent/guardian #1 in case of an emergency.
Your answer
OPTIONAL - Enter your PARENT/GUARDIAN #2's email address:
If you put an email address here - it will be added to the Belmont Rugby Family Email List.
Your answer
Are you a New Player this year or a Returning Player?
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