Touch Rugby Term 4 2020 


Ages: Year 5 & 6
Grade/Division: Primary School Year 5 & 6 Mixed
Venue: Mitre 10 Park
Day/Times: Thursday afterschool 4.00 - 5.30pm
Start Date: 5th November 2020
Finishing Date: 3rd December 2020
Cost: $130 per team
Games: Played on a 1/2 field.  Teams of 10 with 6 players on the field at one time.
  All Games are about participation and fun. Non-competitive.
  Teams are to provide their own REFEREE
Uniform: Covered shoes, no metal sprigged rugby boots.
  Sports top to be provided by school.
Please note: We will confirm later if we have enough players and a coach & manager for this team to go ahead.


Player Consent: *
Information Consent: *
Child's Name: *
Room Number: *
Year Group: *
Date of Birth: *
Ethnicity: *

EMERGENCY CONTACT: Must be contactable on game day and training days

Name: *
Mobile: *
Email: *

TEAM SUPPORT STAFF: Coaching/Co-coaching or Team Manager

Coaching Consent:
I am able to take practice on this day:
Start time:
Finish time:
Managing Consent:
Any other comments or questions:
Please enter the characters
shown in the image
(Note this is not case sensitive)

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