2026 ACTJRU Junior Representative Program Trial Registration

ACTJRU Junior Representative Program Trial Registration

Please use this form to register you or your child for the upcoming ACTJRU representative program. First Trial Day will be Sunday the 22nd of March and any team needing a second trial will be on Wednesday the 25th of March.
Name of Player*

First NameLast Name
Date Of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Guardian Email*
example@example.com
Age group you wish to trial for*
PLEASE NOTE: players may only trial for their actual age grade. Unless prior consent has been provided from Program Manager.
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Relationship of Emergency Contact *
Rugby Club/School*
Primary Playing Position*
Secondary Playing Position*
Relevant Representative History*
Please select your preferred kit size below, using the O'Neills size guide for assistance. Kit is O'neills men's sizing that can run small.

Find the O'neills size guide here: https://www.oneills.com/au_en/size-guides

While we will make every effort to accomodate these preferences, specific sizing cannot be guaranteed as kit is ordered in advance of final squad selection.

Jersey numbers may differ from the number your child usually wears for their club.
Player Jersey Size*
Please note jerseys are Men's O'neills Sizing - These can run small
Player Shorts Size*
Player Socks Size*
Player Training Top Size*
Should be Empty: