Oxford Quins U18 & U17 Boys Academy Pre-Season Sign Up Form
Please register your interest below. NB this does not sign you up to the club only to the Oxford Quins Academy for pre season.
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Player Details
Please fill out contact details for the Player ONLY below
Player Name *
Player Email Address *
Player Mobile Number *
Player Date of Birth *
MM
/
DD
/
YYYY
Preferred Playing Position *
Player Medical Conditions / Medication
Guardian Details
Guardian / Parent 1 Name *
Guardian / Parent 1 Email *
Guardian / Parent 1 Mobile *
Do you wish to add this mobile & email to your son's profile on our Fixtures app? *
Guardian / Parent 2 Name
Guardian / Parent 2 Email
Guardian/ Parent 2 Mobile
Do you wish to add this mobile & email to your son's profile on our Fixtures app? *
Which of the contacts above should we list as the player's emergency contact? *
In the event of an accident or injury we may have to take your child offsite to obtain medical assistance and this may be done without contacting you in an emergency. Please indicate your consent below. *
Required
Do you agree to abide by the Oxford Quins Academy Standards & Oxford Harlequins Code of Conduct? *
Required
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