Rookie Rugby SJ Fall Program 2019
We are so glad you're joining us!
Practice Mondays 6-7pm @ Simonds High --Jamborees: Sept 21st @ Rothesay Netherwood School Sept 28th @ Hazen White Field
Child's Name *
Date of Birth *
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Age as of Sept 1st, 2019 *
Medicare Number *
Address *
Parent/Guardian Names *
Phone number *
Email *
Emergency Contact Name *
Emergency Contact # *
T-shirt Size *
Allergies *
Do you give permission to post a photo of your child on our FaceBook page (no names will be used) *
Special Health Conditions *
We need parent volunteers! *
Please send $30 registration to rookierugbysj@gmail.com
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