2025 BJRU U11 Development Program Player Details

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Date of Birth*

DayMonthYear
Date
Primary Contact Mobile Number*
Contact Email*
example@example.com
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
1st Parent/Guardian Name *

First NameLast Name
1st Parent/Guardian Mobile Contact Number *
1st Parent/Guardian Contact Email *
example@example.com
2nd Parent/Guardian Name *

First NameLast Name
2nd Parent/Guardian Mobile Contact Number *
2nd Parent/Guardian Contact Email *
example@example.com
Any previous Concussions or Suspected Concussions?*

Yes within the last 12 monthsYes longer than 12 monthsNo
If answered Yes, please provide date.
Any Allergies / Medical Conditions / Medications / Chronic Illnesses / Recent Surgical Procedures / Reactions (eg insect bites)?*

YesNo
If Yes, please provide details
Please outline in point form
Any food intolerances or special meal requirements?*

YesNo
If answered Yes, please provide details.
Player Kit Sizing

All playing kits have been pre-ordered with a limited range of stock ordered in the sizes below. Please indicate your child's preferred size. If the size your child requires is not on the drop down list, you will need to contact us, so arrangements can be made as a matter of urgency. Playing kit will be supplied to teams as equitably as possible. If sizes become unavailable, the next best fit will be provided where possible across all teams.
Training Shirt Size (Gilbert sizing)*
Shorts Size (Gilbert Sizing)*
Socks Size (Shoe size)*
Player Height in centimetres*
Please be accurate as this may determine which group the player is selected in
Player Weight in kilograms*
Please be accurate as this may determine which group the player is selected in
Parent, Carer & Player Code of Behaviour

Please read these together with the player before signing the agreement
BJRU Development Program – Code of Behaviour Summary
To ensure all players, families, staff and volunteers have a safe and enjoyable experience, we ask that everyone involved in the BJRU Development Program follows these simple standards:

💬 Respect & Positive Behaviour
Treat everyone with kindness, fairness, and respect — on and off the field.
Speak politely and supportively. No yelling, swearing, or abusive language.
Accept decisions from referees, coaches, and officials — even if you don’t agree.

🛡 Safe & Supportive Environment
Help create a fun, welcoming space for all players, regardless of their background or ability.
Keep physical contact appropriate and only when needed for the game or coaching.
Avoid any form of bullying, harassment, discrimination, or intimidation — in person or online.

🧠 Responsibility & Integrity
Be a good sport. Show honesty, play fair, and be a role model.
Look after your own safety and others'. No dangerous behaviour or actions that could cause harm.
Follow instructions from officials and event staff — they’re here to help keep things running smoothly.

🚫 Zero Tolerance for Misconduct
No violence, aggressive behaviour, or being under the influence of alcohol or drugs at any rugby activity.
Do not damage property, use offensive language, or engage in behaviour that could harm the reputation of the game.
Let’s work together to ensure a positive and safe rugby experience for all players and families.

The complete Rugby AU Code of Conduct referred to, can be found HERE
Player Commitment

Players are required to attend the following training evenings from 6 - 7.30pm.

Venues will be confirmed shortly, based on the number of team registered per region - Central region will only be an option if fields become available.

These dates may be varied if clubs will not allow use of their fields on Mondays.

South region : Monday 4th, 11th, 18th and 25th August

West region: Monday 4th, 11th, 18th and 25th August

North region : Tuesday 5th, 12th, 19th and 26th August

East region : Monday 4th, 11th, 18th and 25th August

Acknowledgement of Terms and Conditions

of the Program

All participants acknowledge and hereby consent that, as part of the event, team and action photography and videography may be provided by professionals, and amateur photography by spectators will be permitted. I GRANT permission to photographed, allow my name, photograph and/or description of award/activity to be published by (its member clubs and associations, including BJRU), participating organizations, news media covering the event and service providers to the event, on websites, in print or other media outlets. I am aware and agree that my picture may appear without payment of any fee, charge, or compensation of any kind.

By submitting this online registration form, you are indicating that you have had read and understand the BJRU Developme Program Player and Parent Code of Behaviour Form. As the Parent / Guardian of the above player, acknowledge that should my child’s behaviour be contrary to the code of conduct which is attached to this document or detrimental to or disruptive of team moral or discipline or brings the BJRU or its representatives into disrepute, I/We will indemnify the BJRU for any of the costs incurred by the BJRU, in remedying any damage resulting from the behaviour, if so deemed by the BJRU Chairman of Selections or Championship/Carnival Convenor. I/We will indemnify the BJRU for any of the transport costs incurred by the BJRU in returning a player home early from the tour, if so deemed by the BJRU Chairman of Selections or Championship/Carnival Convenor.

You are also witness to the player reading, and understanding the Parent, Carer & Player Code of Behaviour above.

Player Payment

By submitting this online registration form, you are indicating that you are aware of, and accept the player levy of $295, to participate in the 2025 U11 Development Carnival. You are agreeing to commit to pay the player levy via the secure Square portal. You understand that failure to do this will result in the player being withdrawn from the Representative or Development Program. Payment details are below.
Do you have a recent/current PLAY ON SPORTS VOUCHER? *
PLAY ON SPORTS VOUCHER - UPLOAD

NOTE: Payment of $95.00 will only be accepted if a valid Play on Sports voucher is uploaded.
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