Rugby Coaching Registration Form
Sign up your child for fun and engaging rugby coaching sessions!
Please read and accept the terms and conditions before proceeding.
*
I agree to the privacy policy.
*
Child's Full Name
*
First Name
Last Name
Child's Age
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Relevant Medical Information/Allergies (Please provide details of any medical conditions or allergies we should be aware of.)
*
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Preferred Coaching Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Preferred Coaching Times
*
6:00 AM - 7:00 AM
7:00 AM - 8:00 AM
9:00 AM - 10:00 AM
10:00 AM - 11:00 AM
3:00 PM - 4:00 PM
4:00 PM - 5:00 PM
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
-
Month
-
Day
Year
Date
Select Coaching Package
prev
next
( X )
Group session 10-20 kids (minimum 10kids) 1hr
(Group skills and game session)
$
30.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Small Group skills session 1-4 1hr
(Group skill session of $45 per person 1hr)
$
45.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Coaching - 1 Session/Week. 1hr
Rugby Coaching (1 session per week diary included ) U8-12
$
50.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Coaching - 1 Sessions/Week - 1hr
Rugby Coaching (1 sessions per week U12-18 Diary Included)
$
70.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Coaching - 2 Sessions/Week - 1hr
Rugby Coaching (2 sessions per week diary included)
$
120.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Scrum Specific skills Tight 5 - 1hr
(Scrum specific skills 5-10 person age groups only 1hr)
$
45.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Scrum Front Row Specific 1-6 Person 1hr
(Small group Front row scrum specific skills in age groups only U10s U12s ect min 3 person - max 6)
$
45.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Lineout Specific Jumping/ lifting 1-10 1hr
(Min 5persons - max 10)
$
45.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Match Review and Feedback 2hr min
(Game footage review and individualised feedback and Goal setting)
$
140.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Submit Registration
Should be Empty: