Katherine Talent ID Permission Form

Katherine Talent ID Permission Form

Northern Territory Rugby Union Inc.
Parent / Guardian / Caregiver

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Player Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Playing Experience
I give permission for my child's photo to be used for promotion by Northern Territory Rugby Union and affiliated bodies
I, give my full permission for my child to participate in the NT RUGBY UNION Talent Identification Session in Katherine on Saturday 15th Feb, 2025.
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty: