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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 Sep 2020)
*
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 AND THEN PROCEED TO STEP 3 PAYMENT VIA PAYPAL
Submit
Step 3: Payment
Dues Options
Tag: Fall 2020 $95.00 USD
Child(ren)'s Name(s)
Dues Options
Spring 2021 Tackle 3rd-8th $125.00 USD
Child(ren)'s Name(s)
Dues Options
Spring 2021 Tackle: HS $125.00 USD
Child(ren)'s Name(s)