Girls Rugby Intro Clinic Registration
Use this form to register for your upcoming Girls Rugby clinic. Questions? Please contact us at info@girlsrugbyinc.com.
Player Name
*
First Name
Last Name
Current Grade Level
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Other
Which clinic are you registering for?
*
Which clinic are you registering for? (Select all that apply)
*
August 8th - Westerville, OH
August 15th - Columbus, OH (Dublin)
August 30th - Colorado Springs, CO
Other
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small (Unisex)
Adult Medium (Unisex)
Adult Large (Unisex)
Adult XL (Unisex)
Adult 2XL (Unisex)
Please indicate your rugby experience (Select all that apply)
*
This is my first time! (I'm super excited!)
I've tried rugby before, but I've never played in an official program
I've played flag rugby before
I've played contact rugby before
Other
Parent/Guardian Name
*
First Name
Last Name
Contact Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
PARTICIPATION WAIVER
Participation Waiver - Please review our Participation Agreement prior to participation. Do you consent to waiver for the Girls Rugby event?
*
Yes, I consent
MEDIA RELEASE FORM
Media Release - Please review our Media Release prior to participation. Do you consent to this media release for the Girls Rugby event?
Yes, I consent
Additional Players
Please use this space to register additional players.
Player #2
First Name
Last Name
Player #2 Grade Level
Player #3
First Name
Last Name
Player #3 Grade Level
Player #4
First Name
Last Name
Player #4 Grade Level
Girls Rugby - Introductory Clinic Payment
Please select only the option with the number of clinics and number of players you are registering
*
prev
next
( X )
1 Clinic Registration
$10.00
$
10.00
Please select the number of players you are registering for just one clinic.
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
2 Clinics Registration
$20.00
$
20.00
Please select this option if you are signing up for multiple clinics. Please then select the number of players for both of these clinics.
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$0.00
$
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: