Rugbytots & Rugbystars Free Trial Class Redemption Form

1
Parent's name
First Name
Last Name
2
Student's name
First Name
Last Name
3
Age
Please Select
Please Select
2 to 3.5 years old
3.5 to 5 years old
5 to 7 years old
4
WhatsAppEnter the phone number you use for WhatsApp
Please enter a valid phone number.
5
Email
example@example.com
6
Preferred rugby class location
Please Select
Please Select
Chai Wan
Clearwater Bay
Cyberport
Discovery Bay
Gold Coast
Happy Valley
Hong Lok Yuen
Kai Tak
Kennedy Town
Mid-Levels
Nam Cheong
Pok Fu Lam
Repulse Bay
Sai Kung
Sai Ying Pun (Sun Yat Sen Memorial Park)
Tamar Park
Tseung Kwan O
Tung Chung
Victoria Park
West Kowloon
7
Terms and Conditions* This field is required.
8
Email
example@example.com
Should be Empty: