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Parents and Athletes,
Welcome to the 2012 SWARM RFC Boys High School Rugby season. Whether you are new to rugby or are an experienced player, we will work to improve skills and abilities, so each athlete develops their full potential.
IN ORDER TO BEGIN PRACTICE, ALL REGISTRATION FORMS AND PAYMENT MUST BE COMPLETE AND RETURNED.
**PLEASE RETURN ALL FORMS AND PAYMENT ASAP.**
TEAM FEE: $190
Fee includes team costs, USA Rugby registration membership dues, shorts, socks and rugby ball.
Please write ONE check made out to "SWARM RFC" in the amount of $190.
REGISTRATION FORM INSTRUCTIONS: Please complete all forms including:
- Emergency Contact Information: Be certain you thoroughly read “Authorization to Consent to Medical Treatment for a Minor.” Signature of parent and athlete required.
- Code of Conduct: Read and discuss all requirements. Parent and athlete initials required on the red line for each item.
- Waiver and Release of Liability: Read thoroughly. Signature of and Parent and athlete required.
- Written Agreement for U15 Player to Play High School Rugby: Fill this out if the player is 15 years of age or younger.
USA RUGBY APPLICATION INSTRUCTIONS:
This registers your son with USA Rugby, and provides insurance coverage through USA Rugby.
*** If your player is 17 years old or under on 2/1/2012 please fill out the form entitled "2011-2012 (Minor) Individual Enrollment Application.
*** If your player is 18 years old before 2/1/2012 please fill out the form entitled “2011-2012 (Adult) Individual Enrollment Application.
Please put an “X” in the appropriate box.
The top section, Enrollment Information
-Have you previously registered, or are you new? Choose the appropriate box, I will fill in your CIPP number later.
- Club Name should be filled out; South West Area Youth RFC The Club ID# is 21966
- Date of Birth, - Gender; - Name of the player.
- Fill in the rest of this section with; address, and phone numbers. You MUST fill in your e-mail address.
- Registration Type; Player
Second Section Enrollment Classification and Annual Fees
- Affiliated with a High School or Youth Club; put an “X” in the box and $20 in the right column.
- Total Individual Enrollment Fees; $20
Third Section Method of Payment.
- Choose; CLUB CHECK. DO NOT WRITE ANY OTHER CHECKS. DO NOT MAKE OUT YOUR CHECK TO USA RUGBY.
Fourth Section Signature.
Athlete sign and date it. PARENTS MUST SIGN THIS NO MATTER THE AGE OF YOUR SON. Please read and sign the USA Rugby Waiver & Release. We’re done with this form.
**Some forms are computer friendly and text can be entered directly on the form and printed, or you may print them and complete them in clear hand-print.
Please be sure all forms are filled out according to the instructions provided. A PARENT’S and ATHLETE’S signature should appear multiple times, regardless of your son’s age.
If you have any questions or were unable to attend the parent/player meeting please contact me.
Thank you for your support and I am looking forward to the season!
Dave Doessel
Head Coach/Manager
720-849-6547
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