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GIRLS - Belmont Rugby - 2022 Sign Up
This is the Google Form that gives us details about you, your emergency contact information, and signs you up for Belmont Rugby Player gear.
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* Indicates required question
Which team are you signing up for?
*
Boys
Girls
Enter your LAST NAME
*
ex: Berens or Wu
Your answer
Enter your FIRST NAME
*
ex: Timothy or Allison
Your answer
Enter your GRADE
*
9th Grade
10th Grade
11th Grade
12th Grade
Enter your EMAIL ADDRESS:
*
This is the email address at which YOU will receive team emails - it will be added to the Belmont Rugby Team Email List.
Your answer
Enter your PARENT/GUARDIAN #1's name:
*
Your answer
Enter your PARENT/GUARDIAN #1's phone number:
*
Please share the number at which a guardian can be reached in case of an emergency.
Your answer
Enter your PARENT/GUARDIAN #1's email address:
*
This email address will be added to the Belmont Rugby Family Email List.
Your answer
Enter your PARENT/GUARDIAN/EMERGENCY CONTACT #2's name:
*
Your answer
Enter your PARENT/GUARDIAN/EMERGENCY CONTACT #2's phone number:
*
Please share the number we will ONLY use if we can't reach your parent/guardian #1 in case of an emergency.
Your answer
OPTIONAL - Enter your PARENT/GUARDIAN #2's email address:
If you put an email address here - it will be added to the Belmont Rugby Family Email List.
Your answer
Are you a New Player this year or a Returning Player?
New Player in 2019
Returning Player in 2019
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