Girls Rugby, Inc. - Girl Scouts Flag Rugby Event
All participants will have the chance to play non-contact rugby games and earn their Girl Scout Athletic Patch! No experience necessary - we'll teach you everything you need to know! You'll have a blast! Questions - please contact socal@girlsrugbyinc.com.
Which Girl Scouts event are you signing up for?
*
March 18th - Chula Vista
Player Name
*
First Name
Last Name
Current Grade Level
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
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
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
No, I do not consent
Additional Players
Please use this section to register additional players.
Additional Player Name
First Name
Last Name
Current Grade Level
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
My Products
*
prev
next
( X )
Girls Rugby Girl Scouts Day
$
5.00
This $5 fee is per player. If you input additional players, please select a quantity equal to the number of players in the above form.
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Total
$
0.00
Submit
Should be Empty: