Sport's Registration Form

2022/2023 Boca Buccaneers Rugby Registration
PLAYER INFORMATION
Player First Name *
Player Last Name *
Player Birth Date *

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

Area Code Phone 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 Code Phone Number
PARENT/GUARDIAN #2
Parent/Guardian #2 Name *
Address: Street *
Address Line 2: Unit #
City *
State *
Zip Code *
Parent #2 Contact E-mail *
example@example.com
Parent #2 Contact Phone # *

Area Code Phone Number
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.
PLEASE CHECK ALL THAT APPLY *

I/WE AGREE WITH THE ABOVE WORLD OF RUGBY LAWS & CODE OF CONDUCT I/WE UNDERSTAND AND APPROVE THAT MY CHILD/PLAYER WILL BE PHOTOGRAPHED, FILMED AND POTENTIALLY DISPLAYED ON FACEBOOK, YOU TUBE ETC.. I/WE UNDERSTAND THAT ALL DUES MUST BE PAID BEFORE ATHLETE WILL BE ELIGIBLE TO PLAY
Should be Empty:

2022/2023 Boca Buccaneers Rugby Registration