Portland Rugby Club - Try Rugby Waiver

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 NameLast Name
Current Grade Level*
How did you hear about the clinic?*
Please indicate your rugby experience (Select all that apply)*

This is my first timeI've tried rugby before, but I've never played in an official programI've played flag rugby beforeI've played contact rugby beforeOther
Primary Parent/Guardian Name*

First NameLast Name
Parent/Guardian Contact Email*
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Secondary Parent/Guardian Name

First NameLast Name
Parent/Guardian Contact Email
example@example.com
Parent/Guardian Phone Number

Area CodePhone 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 consentNo, I do not consent
Additional Players

Please use this section to register additional players.
Additional Player Name

First NameLast Name
Current Grade Level
Additional Player Name

First NameLast Name
Current Grade Level
Additional Player Name

First NameLast Name
Current Grade Level
Additional Player Name

First NameLast Name
Current Grade Level
Additional Player Name

First NameLast Name
Current Grade Level
Should be Empty:

PORTLAND RUGBY CLUB - Try Rugby

Additional Players