NSW Schools Rugby U16 2022 Player Information
Parental Form
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Email Address *
Students First Name *
Students Surname *
Date of Birth (dd,mm,yyyy) *
MM
/
DD
/
YYYY
Heights (cms) *
Weights (kgs) *
Home Phone contact number *
Address *
Parent/Guardian name and contact *
Medicare Number *
Private Health Care Provider
Private Health Care Number
Past or Current Injuries (put in N/A if not applicable) *
If you have an injury will this preclude you from playing at the U16 trials and Championships?
Clear selection
School attending *
Association *
Club
Preferred position (specify 1st choice) *
Preferred position (2nd choice)
Jersey *
Short Size *
Allergies (N/A if not applicable) *
Dietary Requirements (N/A if not applicable and only for coaching staff if they provide food whilst at training or Invitational) *
Parents please tick a box below to either allow or not allow NSWSRU to use the information provided to ensure your son can be cared for by medical staff if required whilst at the trials, in NSWSRU training camps and during the NSW Rugby Invitational Tournament if selected *
Required
Parents please tick a box below to allow or not allow NSWSRU to share the information provided, to NSW Rugby for the continued development of your son and rugby in NSW. *
Required
Parents please tick a box below to allow or not to allow NSWSRU to use official video footage or photographs from the trials for promotional and evaluation purposes. NB NSW Rugby TV is live streaming the U16 trials and championships *
Required
Please tick a box below to confirm that your son is available to be selected and therefore play for NSWSRU U16 teams. Training days 7th and 8th July with the NSWRU U16 Invitational 9th and 10th July. *
Required
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