Touch Rugby Registrations 2019

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WHAT: 6-a-side Touch Rugby League.
WHO: Mixed Y1/2, 3/4 and 5/6 teams.
WHEN: Tuesday afternoons. Y1-4 at 3.45pm and Y5/6 at 4.15pm. First game 29th October - 3rd December.
WHERE: Celaeno Park (Behind Countdown) on Schnell Drive.
HOW MUCH: $15 per player.

**Please note if you are registering more than one child in your family, please do this form again. One response per child registered. We will NOT be placing students in teams until payment has been made. Thank you for you support with this.**

Child's Name *

First and Last please

Room *

Room 1 (Kelly/Nicole/Carolyn)

Room 3 (Kerri)

Room 4 (Lucy)

Room 5 (Robin/Sandi)

Room 6 (Mel/Bianca)

Room 7 (Nic/John)

Room 8 (Ebony)

Room 9 (Demelza)

Room 10 (Joy)

Room 12 (Belinda)

Room 13 (Eileen)

Room 14 (Rosie)

Year Group *

Year 0

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Date of Birth? *

YYYY

Parents/Caregivers name *

Parents/Caregivers Mobile Number *

Please use a number that is checked regularly

Parents/Caregivers Email Address *

Please use an email that is checked regularly

Are you able to coach a team? *

Yes

Maybe

The registration fee is $15 and I intend to pay by *

Eftpos at the Office (or cash in an envelope with your Child's Name and Touch on it)

Internet Banking (Use Child's Name and Touch as Reference) ASB Bank 12 3143 0398304 00

Credit Card online payment. Go to www.russellst.school.nz/shop to pay now

Coaching my child's team so no payment needed.

Submit

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