PORTLAND RUGBY CLUB - Try Rugby
Sign up to join us for the free Portland Rugby Club - Try Rugby Summer Sessions! These introductory sessions are perfect for all skill levels - no experience is necessary! The clinics will introduce basic rugby skills in a fun, supportive atmosphere. There is no cost to participate, just register using the form below.
Player Name
*
First Name
Last Name
Current Grade Level
*
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
How did you hear about the clinic?
*
Please indicate your rugby experience (Select all that apply)
*
This is my first time
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
Primary Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Contact Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Secondary Parent/Guardian Name
First Name
Last Name
Parent/Guardian Contact Email
example@example.com
Parent/Guardian 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 training sessions?
*
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
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Over 18
Additional Player Name
First Name
Last Name
Current Grade Level
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Over 18
Additional Player Name
First Name
Last Name
Current Grade Level
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Additional Player Name
First Name
Last Name
Current Grade Level
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Submit
Should be Empty: