Registration Forms 

To complete registration please mail the items below to me or bring them to the first practic on Sat. Jan 3rd, 2009:

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 and Merchandise List (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. 

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 ________________ 

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: 

DUES AND MERCHANDISE LIST

 Dues         .

      Dues for Individual Players (CIPP) 

      Club dues to be part of the USA Union 

      Jersey use-age and rugby balls 

      Referee Fee 

      Field Costs 

      Lights 

      Food/Water for home games for us and the other team

      New Game Jerseys

Need Players size:

       (Size: _____) - Gator practice jersey

       (Size: _____)  - Scrimmage practice jersey

       (Size: _____)  - Game Shorts

       (Size: _____)   - Game Socks

Total dues for the season are $225.00 payable to "South Orange County Gators".

NO FUNDRAISING.

Gator Gear Available

$12 (Size: _____) - T-Shirt "GATOR RUGBY" on front and logo on the back

$20 (Size: _____) - Grey Crew Sweat Shirt with logo on the front

$25 (Size: _____) - Grey Hooded Sweat Shirt with logo on the front

$20 Rugby Ball with Gator logo

Make sure you fill out all the sizes before you mail it in with registration papers to:

Coach Hughes

22256 Lantern Lane

Lake Forest, Ca. 92630