Rugby Coaching Registration Form

Please read and accept the terms and conditions before proceeding.

I agree to the privacy policy.

Child's Full Name

First NameLast Name

Child's Age

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relevant Medical Information/Allergies (Please provide details of any medical conditions or allergies we should be aware of.)

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Coaching Days

Preferred Coaching Times

Consent and Waiver: I hereby give my consent for my child to participate in the rugby coaching sessions. I understand and acknowledge the risks associated with the sport and release the coaches and organizers from any liability for injuries or damages incurred during the sessions.

Parent/Guardian Signature

Date

Select Coaching Package

Individual Coaching - 1 Sessions/Week - 1hr

Rugby Coaching (1 session per week U12-18)

$80.00 AUD Quantity

U13/14s Scrum Front Row Tight 5 Specific 2-12 Persons 2

(Small group Front row scrum specific skills in age groups only U11/12, U13/14, U15/16 ect min 2person - max 12) $30 per player.

$30.00 AUD Quantity

U15/16 Scrum Front Row Tight 5 Specific 2-12 Persons 1hr

(Small group Front row scrum specific skills in age groups only U11/12, U13/14, U15/16 ect min 2person - max 12) $30 per player.

$30.00 AUD Quantity

Individual Coaching - 2 Sessions/Week - 1hr

Rugby Coaching (2 sessions per week)

$160.00 AUD Quantity

Lineout Specific Jumping/ lifting 3-12 1hr($30 per person)

(Min 3persons - max 12)

$30.00 AUD Quantity

Match Review and Feedback 2hr min

(Game footage review and individualised feedback and Goal setting)

$140.00 AUD Quantity

Group session 10-20 kids (minimum 10kids) 1hr

(Group skills and game session)

$30.00 AUD Quantity

Small Group skills session 2-6 1hr $120

(Group skill session of 2-6persons for 1hr) *Price divided by group numbers

$120.00 AUD Quantity

Total