Mount Lebanon Blue Devils Rugby: Middle School Edition 
By filling out this form, YOU will be a part of the second year Blue Devils Rugby Middle School Team! 

There is also a RugbyPA registration (our governing body) that you'll have to complete, but not until March! Physicals are required and can be emailed to mtlebogirlsrugby@gmail.com

There will be a player dues cost of $75 to join, that can also not be paid until March via VENMO, PAYPAL, CASH & CHECKS!

THANK YOU IN ADVANCE FOR FILLING THIS OUT & JOINING US!
LET'S GO BLUE DEVILS!
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Athlete First Name
Athlete Last Name
Athlete Date of Birth
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Athlete 2024-2025 Grade
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Athlete School
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Parent/Guardian 1: Name
Parent/Guardian 1: Mailing Address
Parent/Guardian 1: Phone Number
Parent/Guardian 1: Email (Join our mailing list as well if you haven't already!) 
Emergency Contact Name (Other Guardian or Family Member/Close Friend)
Emergency Contact Phone Number
Athlete Shirt Size
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Can you commit to two practices per week starting on March 10th? 
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Do you have any Allergies or Health Concerns we should be aware of? 
If not, just put N/A
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