Trinity Rugby 2023 - Collection of Information and Expression of Interest to Play.

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Please complete this form if you give permission for your child to be part of a Trinity Weekend Rugby Team.

Competition: ACTJRU
Venue: Various Locations (Home and Away)
- Some locations include: Goulburn, Canberra, Jinadabyne and Broulee

Played on Saturdays, starting on Saturday 6th May 2023 (Trial matches held in March/April TBC)
The teams offered:
- Boys (13's, 14's, 15's, 16's and 18's (1st XV)
- Girls (U14's, U16's and U18's)

Price will be dependant on the fees charged from ACTJRU

Expressions of interest will be assessed Week 6, Term 1 to calculate number of players interested and the viability of forming teams in respective age groups.
Please note: A team can not be formed without the suitable amount of players and an appointed coach.
Rugby Xplorer will then be opened and viable teams/players asked to begin the registration process.

ACTJRU accept Active Kids Vouchers, which will allow each child to obtain $100 off of their registration fee, here is the link were you can apply for this: https://www.service.nsw.gov.au/transaction/apply-active-kids-voucher

You will be notified as to when registrations via Rugby Xplorer open, only once coaches and teams have been confirmed.

Email *

Name of the student (Full Name) *

Current School you attend or employment *

Trinity Catholic College Goulburn

Goulburn High School

Mulwaree High School

Crookwell High School

Braidwood Central School

Yass High School

Primary School

In the workforce

Other:

Required

Rugby Age Group (the age that you are turning in 2021) *

U13's Boys XVs

U14's Boys XVs

U15's Boys XVs

U16's Boys XVs

First XV - U18's Boys

U14's Girls 10's

U16's Girls 10's

U18's Girls 10's

Other:

Date of Birth *

YYYY

Dispensation Request *

Yes

If you selected yes to Dispensation Request please choose the type below

Size for Age Dispensation (SizeforAgeGuidelinesforAgeGradeRugby2020_1 (1).pdf)

Age Grade Dispensation (RugbyAustraliaAgeGradeDispensationProcedure%202020%206v2.pdf)

N/A

Clear selection

Gender *

Female

Male

Address *

Phone Number *

Medicare Number *

Private Health Insurance (If applicable) - FUND AND NUMBER

Does your child have any Medical Conditions? *

Yes

If you selected YES. Please supply details below, including how it can be treated. E.g. Epilepsy - Medicated.

Parent / Guardian Contact 1 Information - Name *

Parent / Guardian Contact 1 Information - Mobile Number *

Parent / Guardian Contact 1 Information - Email *

Parent / Guardian Contact 2 Information - Name *

Parent / Guardian Contact 2 Information - Mobile Number *

Parent / Guardian Contact 2 Information - Email *

Emergency Contact - Name and Mobile Number *

Do you give permission for your child to use a the College coaster throughout the season, if available? *

Yes

Do you give permission for your child to use a chartered bus / coaster throughout the season, if required?

Yes

Other:

Clear selection

Do you give permission for your child to be photographed and the pictures be used for social media and the College yearbook? *

Yes

Players Code of Conduct

By ticking these boxes you give permission, understand the code of conduct and behaviours expected from players representing Trinity Catholic College Goulburn and other important information. *

I agree to abide by the Code of Conduct provided in this registration form

Understand that parents/carers are responsible for transport to all games and venues

I understand that all major injuries should go through the association insurance at the parents responsibility. This includes; ambulance fees (if applicable) and medical appointments.

Required

I hereby give permission for my son/daughter to play Rugby Union for Trinity Catholic College and understand that it is a collision sport and that injury may occur. I understand that insurance cover through Rugby Australia is limited for players at games and training and I acknowledge that if additional insurance cover is felt necessary, including ambulance cover, I will be responsible for arranging such cover. I have read the Trinity Code of Conduct, Behaviours and Standards and I agree to abide by the Code of Conduct, Behaviours and Standards .

Yes

A copy of your responses will be emailed to the address you provided.

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