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1986
Youth
Tag and Tackle
Western Suburbs Youth Rugby Registration
Clinic registration
Western Suburbs Rugby Football Club
Est. 1976
Youth Rugby Registration
Youth Rugby Registration
Step 1: Player Information
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Gender
*
Male
Female
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
For club text messages only
Email
*
If none, please put NA
Grade (as of Jan 2022)
*
Shirt Size
*
Step 2: Family Contact Information
Please include work or cell phone numbers to be used in case of unusual need or emergency.
Name
*
First
Last
Name
*
First
Last
Primary Phone Number
*
Secondary Phone Number
*
PLEASE CLICK "SUBMIT" BELOW WHEN DONE. YOU WILL THEN BE INVOICED VIA EMAIL FOR THE REGISTRATION FEES.
Submit