GATORS YOUTH RUGBY
SOUTH ORANGE COUNTY, CA.
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Registration

STARTS NOW!!!!!!!!

To complete your registration please fill out the forms below and mail to me at the following address:

Coach Hughes
22256 Lantern Lane
Lake Forest, Ca. 92630

1.  Consent form (below)
2.  Information Sheet (below)
3.  Dues and Merchandise Order (below)
4.  Dues paid to  ($250.00)
      South Orange County Gators
5.  Copy of Birth Certificate with School
     ID or Driver Lisence
6.  A digital photo of just the players
    head with a white background with 
    no glasses or hats on.  Send it to
     
hughesfam2@cox.net



SOUTH ORANGE COUNTY RUGBY FOOTBALL CLUB
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: ___________________ 
Home 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 to be registered to So. Cal. Rugby
Jersey useage
Practice and Game rugby balls
Referee Fees
Field Costs
Lights for practices
Food/Water for home games for us and opponent

Total dues for the season are $250.00 payable to "South Orange County Gators"

Merchandise (optional)
$10 Socks (Black)
$30 Size _____ Shorts (Black)-
$45 Size ______Practice Jersey (Black with
                      GATORS RUGBY on back) 
$15  Size _____T- shirt (Black with GATORS RUGBY
                     on the front and LOGO on the back)
$30  Size _____Hooded Sweat Shirt (same as T-  
                      shirt)
$30  Size _____Crew Sweat Shirt (same as T-shirt)
$20  Rugby Ball ( LOGO and Website on panels)
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