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Player information
Full Name of the Player
*
Date of Birth
*
School and Grade
*
Allergies/Medical Condition (If Any)
*
Does your child require any specific learning needs? (Please specify):
Full Name of Parent/Guardian 1
*
Relationship to Child
Contact Number
*
E-mail
*
Full Name of Parent/Guardian 2 (if applicable)
Relationship to Child
Contact Number
Email
Emergency Contact Full Name
*
Relationship to the Child
*
Emergency Contact Number
*
Consent
*
Select
I hereby grant permission for my child's image or work to be used for educational purposes, such as in company publications or on the business website.
I do not grant permission for my child's image or work to be used for educational purposes, such as in company publications or on the business website.
Liability and Injury
*
Select
I understand that Ontogenesis Rugby and associates cannot assume responsibility for any unexpected injuries that may occur during coaching sessions, matches, or any other activities involving my child. I understand that my child's safety and well-being are important to Ontogenesis, and they encourage them to participate with caution and adhere to safety guidelines.
Which branch do you want to enroll your child in?
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Curro (School specific)
Secunda
Standerton
Bethal
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