Northumberland Rugby Union Representative Rugby Registration Form - ERDPP Under 16s Girls

Player Information

Address(Required)
Include area code.
Include area code.
Date of Birth(Required)
Preferred Playing Position(s)(Required)
Please note any allergies and include details of any past injuries including concussions.

Representative Rugby Permissions

Parent/Gardian Details(Required)
First Name
Surname
Phone Number
 
Parent / Guardian Address (if different to players)
Date(Required)

Playing & Training Permission

I give permission for information regarding my daughter/guardian to be kept on file and acknowledge that information will be given to team managers, county physios, county coaches and, if applicable, PDG coaches, ensuring duty of care is followed whilst my daughter/guardian is training or playing rugby for Northumberland Rugby Union.
Date(Required)

I give permission for my daughter/guardian to be photographed and/or videoed whilst playing in festivals or county matches, or training with other county players.
Date(Required)

I give permission for my daughter/guardian to receive medical treatment for any injury received whilst training or playing for Northumberland Rugby Union.

Please note, a copy of this form is given to lead coaches/team managers in a sealed file so they have your contact information and the relevant permissions in the event of an emergency at training or at matches when you are not present.
Date(Required)

I agree that when attending any county training sessions, matches or festivals, we will be respectful and follow the core values of the game: teamwork, respect, enjoyment, discipline and sportsmanship (TREDS).

Verbal abuse of referees and coaches is unfortunately on the rise. It will not be accepted. If you are seen or heard being abusive towards referees, coaches or volunteers involved in running county rugby, you will be asked to leave the ground.
Date(Required)

I give permission for my daughter/guardian to play rugby for Northumberland Rugby Union.
Date(Required)

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