Sport's Registration Form 2024-2025

2024/2025 Boca Buccaneers Rugby Registration
PLAYER INFORMATION
Player First Name*
Player Last Name*
Player Birth Date*

MonthDayYear
Address line 1: Street*
Address Line 2: Unit #
City*
State*
Zip Code*
Player Contact E-mail*
Player Phone Number*

Area CodePhone Number
Shirt Size*
Short Size (waist size in inches)*
Height*
example 5'7"
Weight (Lbs)*
Player School*
Player Grade*
Have you ever played rugby?*
PARENT/GUARDIAN #1
Parent/Guardian Name*
Address: Street*
Address Line 2: Unit #
City*
State*
Zip Code*
Parent E-mail*
Parent Phone Number*

Area CodePhone Number
PARENT/GUARDIAN #2
Parent/Guardian #2 Name*
Address: Street*
Address Line 2: Unit #
City*
State*
Zip Code*
Parent 2 Phone #*

Area CodePhone Number
Parent #2 Contact E-mail*
example@example.com
PLEASE READ ALL ATTACHMENTS

WORLD RUGBY CONCUSSION GUIDANCE

RUGBY LAWS & CODE OF CONDUCT-The code of conduct MUST be followed by players, parents and/or anyone attending the games.

CLUB & CLUB OPERATORS LIABILITY WAIVER

Pictures of rugby players are published on this team sports website, Facebook and many other social media sites. Parents may Opt Out by advising BUCS management to remove their children's pictures.
Please check all that you have read and understand.*

I have read and Understand the World Rugby Concussion Gude.I have read and understand the Rugby Laws and Code of ConductI have read and understand the Club and Club Operators Liability Form.I understand that pictures/video of players may be used on our website and social media.
Payment Options 1 Player $325 Multiple Players $275 per player.

VENMO (Garth-DUFFGRAY) - Preferred Method - No Fees ZELLE (BocaRatonYouthRugby@gmail.com) - Preferred Method No Fees Check or Cash at Bucs Field to Club Admins
Should be Empty:

2024/2025 Boca Buccaneers Rugby Registration

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

Payment Options 1 Player $325 Multiple Players $275 per player.