GCAS Rugby Union Application Form

2026 Rugby Union Application Form

U14/15 Boys Union Academy Program | Born 2011-2012 Please head to our website for the program schedule https://goldsport.com.au/athlete-programs/rugby-union/
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Are you of Aboriginal or Torres Strait Islander origin?*

NoAboriginalTorres Strait IslanderBoth
Address*

Street Address

CityState

Postal Code
Player Profile
Rugby Club Info

Club Name Coach
Number of Years Playing*
Player Position*

#1 or #3 Prop#2 Hooker#4 or #5 Lock#6 or #7 Flanker#8#9 or #10 Scrum Half/Fly Half#11 or #14 Winger#12 or #13 Centre#15 Fullback
Evidence of player experience: e.g. Team selections, Competition involvement/experiences, Coach reference *
Option to attach player portfolio can be found at the end of the form.
Reason for wanting to take part in this program? *
Please clearly state why you want to be involved/what you want to achieve
Rugby Goals? *
Parent/Guardian Information
Name*

First NameLast Name
Mobile Number*
Relationship*
Main Contact E-mail*
example@example.com
Emergency Information

**ONLY REQUIRED TO BE FILLED IF DIFFERENT FROM THE ABOVE
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Medical Information
Does the athlete have any current or recurring injuries, allergies, chronic illness, or medical conditions? If yes, please describe.
Uniform Size

Please select the most appropriate size as per the measurements provided below for each garment (Training T-shirt & Short).
All sizes are measured in cm with the shirt measured in cm across half of the chest from 2cm under the armpit, from armpit to armpit (widest point of chest) as per the image. The shorts are measured in cm the entire way around the waist area.

When selecting your size please ensure you go slightly bigger than your exact measurements to allow for movement.

Once accepted into the program the uniform size will be confirmed and locked in. No refund or exchange will be provided if an incorrect uniform size is selected due to ordering in of uniforms.

Some sizes are available for try-on. If you would like to try sizes please contact the GCAS office.
Training Shirt *
Training Shorts *
You agree that by applying for this program you are committed and available to attend all sessions as outlined in the program schedule. At any stage where your circumstances change you agree and are required to inform the GCAS office by contacting the Programs Manager on the below phone number or email.*

I agreeI don't agree
Would you like to be added to our mailing list?*

YesNo
Please head to our website for further program information including the program schedule. Applications close on 2nd December and all applicants will be notified within a few days. Keep an eye on your emails for contact from the GCAS office regarding further details and acceptance.

For further information please contact Joshua Hill, Programs Manager:

0437 344 519 or programs@goldsport.com.au
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2026 Rugby Union Application Form