Registration Forms

To complete registration please mail the items below to me or bring them to practice:
Coach Hughes
22256 Lantern Lane
Lake Forest, Ca. 92630
If you have any question please feel free to call me on my cell: 949-230-0482
1. Consent Form (below)
2. Information Sheet (below)
3. Dues paid to South Orange County Gators.
4. Copy of Birth Certificate/Driver License for Proof of age.
5. Copy of Student ID card to show that you are a high school student.
1. CONSENT FORM SOUTH ORANGE COUNTY RUGBY FOOTBALL CLUB UNDER 19 INFORMED CONSENT AWARENESS OF SPORTS INJURY RISK WARNING AND AGREEMENT By its very nature, competitive athletics can put youths in situations in which SERIOUS, CATASTROPHIC, and perhaps FATAL accidents could occur. Youths and parents/guardian must assess the risks involved in such participation and make their choice to participate in spite of those risks. No amount of instruction, precaution, or supervision will totally eliminate all risk of injury. Just as driving an automobile involves choice of risk; participation in athletics is inherently dangerous. The obligation of parents and youths in making this choice to participate cannot be over- stated. By granting permission to your son/daughter to participate in a rugby league competition, a parent or guardian acknowledges that playing or practicing in this sport can be a dangerous activity involving MANY RISKS OF INJURY. Both the youth and parent must understand that the dangers and risks of playing or practicing to play include but are not limited to, death, complete or partial paralysis, brain damage, serious injury to virtually all internal organs, bones, joints, ligaments muscles, tendons and other aspects of the skeletal system and potential impairment to other aspects of the body, general health and well being. Because of the dangers of participation in rugby, we (parent and youth) recognize the importance of following coaches’ instructions regarding playing techniques, training, equipment and other team rules, etc. both in competition and practice and agree to obey such instructions. If any of the foregoing is not completely understood and you have questions, please contact your coach for further information. At the beginning of the club season of practice both the youth and parent need to be informed in writing of the above information. The club must require that both the youth and the parent sign and date this sheet of paper acknowledging that they have read the above statement and understand it thoroughly. This paper with signatures will be kept on file with the coach. I have read and understand the information above and give my son/daughter permission to participate in rugby.
Son/Daughter Name ___________________________________________________
Parent/Legal Guardian Signature _____________________________________ Date______________
I have read and understand the information above.
Youth Signature _____________________________________________________ Date ________________
2. INFORMATION SHEET
Player Name: __________________________________________
Grade: _________
School: ___________________
Address: ______________________________________________
City: _________________________
Zip Code: ___________
Home Phone: ____________________________________________
Cell Phone (Parents): __________________________________
(Player): ___________________________________
Email: _________________________________________________
Guardians Name: _________________________________________
Players Height: _________________ Weight: __________
Birthday: _____________________________
Medical Insurance: _____________________________________
Policy Number: _________________________________________
Any Medical Notes coach needs to know about:
3. Copy of Birth Certificate/Driver License for Proof of age.
4. Copy of Student ID card to show that you are a high school student.
5. Dues are $120 and are paid to "South Orange County Gators Rugby".
$20 - Dues for Individual Players (CIPP)
$10 - Club dues to be part of the USA Union
$15 - Jersey use-age and rugby balls
$20 - Referee Fee
$15 - Field Costs
$20 - Lights
$20 - Food/Water for home games for us and the other team
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