King's Mini's & Junior's Registration Form
This form will allow us to keep in contact, and update our records accordingly. Please fill complete this form even if you are trialing rugby currently for your child. Please complete one form per child.
Player Name
First Name
Middle Name
Last Name
Player Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Player Gender
Please Select
Male
Female
N/A
Parent Name
First Name
Last Name
Contact E-mail
example@example.com
Phone Number
Age Group
Please Select
Reception - U5s
Year 1 - U6s
Year 2 - U7s
Year 3 - U8s
Year 4 - U9s
Year 5 - U10s
Year 6 - U11s
Year 7 - U12s
Year 8 - U13s
Year 9 - U14s
Year 10 - U15s
Year 11 - U16s
School
How did you hear about Rugby at Kings?
This is massively helpful for us, any insight is hugely appreciated - If you were referred please add that here so we can apply the referral discount accordingly.
Do you have another child already playing at King's?
Yes
No
Not yet (will join when a little older)
Are you happy with photo consent? (We follow RFU guidelines and only share team/group photos, unless we ask for specific permission directly)
Yes
No
Additional Comments
Please let us know if there is anything else the coaching team should be aware of ie Allergies, or Medical conditions. All feedback welcomed so we can improve the experience at the club!
Submit
Should be Empty: