Free Rugby Youth Clinics - Raleigh Rugby Football Club

Raleigh Rugby would like to invite you and your player to join our FREE Fall Youth Rugby Clinics. We offer our clinics as a way to introduce the sport of rugby to new, interested players, and to foster player development and camaraderie amongst returning players. We look forward to working with players of all skill levels.

Tackle Players must have mouthguards
Cleats are encouraged for all players but required for tackle
Please bring a water bottle (we will have stations to refill)
All players must register in order to participate
Arrive on time

WHO:
Clinics are open to boys and girls, grades K-12. Groups will be separated by touch and tackle as necessary.

WHEN:
Sunday, October 7th, 2018 | 2pm-4:30pm
Sunday, November 18th, 2018 | 2pm-4:30pm

WHERE: Poole Road Rugby Complex

COST: Free

QUESTIONS: Email Us

Youth Clinics Registration Form - Fall 2018

Name of Player/member*
First Last
Which clinic dates will you attend? (You may check more than one.)*
- 10/7/18
- 11/18/18
Which age group is your player in?*
Player/member email*
Player/member Phone*
Date of Birth*
Grade Level*
School*
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian or Emergency Contact #1 Name*
First Last
Parent/Guardian or Emergency Contact #1 Phone*
Parent/Guardian #1 Email*
Parent/Guardian #2 Name
First Last
Parent/Guardian #2 Phone
Parent/Guardian #2 Email
MEDICAL INFORMATION: The Raleigh Rugby Club does not provide medical insurance coverage for participants; each participant in RRFC Programs must rely on the private coverage of a comprehensive medical insurance policy. Your disclosure of this policy will allow us to quickly access this information in event of any medical emergency and our club safety measures.
Health Insurance Provider & Policy #*
Medical conditions/allergies that RRFC staff should be aware of?*
CONSENT, LIABILITY & PHOTO RELEASE: With informed consent, I shall hold harmless the Raleigh Rugby Club, their sponsors, coaches, administrators, volunteers, officers, and owners of property on which Raleigh Rugby Club events occur for any loss or injury which might occur during participation in Raleigh Rugby Club sanctioned events. I also certify that the above-listed participant has been examined within the last year by a physician and has been determined fit to participate in rigorous athletic activities. If the above-listed participant is in need of medical care, and my immediate consent is unavailable, I hereby give the Raleigh Rugby Club coaches and administrators present my consent to appropriate medical treatment. I assume full responsibility for the cost of any treatment given. I give my consent to Raleigh Rugby to use the likeness of the above-listed participant in photographs and videos for marketing material and social media of Raleigh Rugby.
Signature of Player/Member or Parent/Guardian if younger than 18*
CAPTCHA