NSW Schools Rugby Opens 2019 Player Information
Parental Form
Email Address *
Your answer
Students First Name *
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Students Surname *
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Date of Birth (dd,mm,yyyy) *
MM
/
DD
/
YYYY
Heights (cms) *
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Weights (kgs) *
Your answer
Home Contact number (parents) *
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Address *
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Parent/Guardian name and contact *
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Medicare Number *
Your answer
Private Health Care Provider
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Private Health Care Number
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Past or Current Injuries (put in N/A if not applicable) *
Your answer
If you have an injury will this preclude you from playing at the trials?
If you have an injury will this preclude you from playing at the Australian School Championships
Nationality *
Your answer
School attending *
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Association *
Club
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Preferred positions(specify 1st and 2nd choice) *
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Jersey *
Short Size *
Allergies (N/A if not applicable) *
Your answer
Dietary Requirements (N/A if not applicable) *
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Parents please tick a box below to either allow or not allow NSWSRU to use the information provided to ensure your son can be cared for by medical staff if required whilst at the trials, in NSWSRU training camps and during the Australian School Rugby Championships if selected *
Required
Parents please tick a box below to allow or not allow NSWSRU to share the information provided, to NSW Rugby for the continued development of your son and rugby in NSW. *
Required
Parents please tick a box below to allow or not to allow NSWSRU to use official video footage or photographs from the trials for promotional and evaluation purposes. *
Required
Please tick a box below to confirm that your son is available to be selected on the schools pathway and therefore play for NSWSRU teams at the Australian Schools Championships. *
Required
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