VIEWS: 21 PAGES: 1 POSTED ON: 4/29/2011
Mini- Rugby: Registration Form 2011 What is Mini-Rugby? The mini-rugby has been developed to work on fundamental rugby skills such as passing, running, tackling and catching as well as basic rugby rules. Each mini-rugby session will consist of ½ hour of practice time, followed by ½ hour Rippa-Rugby (flag rugby) game. Note: If numbers permit, players will be assigned to teams and each team will have their own coach. Specifics: When: Elementary School: Tuesdays and Thursdays, 5:30 – 6:30pm from April 19- June 9. Middle School: Tuesdays and Thursdays, 5:30 – 6:30pm from April 19– June 9. Note: The Middle School and Elementary School ages groups will have separate coaches and play separate games with their own age groups. Some drills may be run together where applicable. Where: Lethbridge Rugby Club 3305 9th Avenue North Who: Elementary School: males and females age 8- 11 (Grade 3 -5) Middle School: males and females age 12 – 14 (Grade 6-8) Equipment: Each player is responsible for coming to sessions with either running shoes or cleats and appropriate “active wear”. Players will also be asked to bring a colored T-shirt (ex. red, blue, white or yellow) dependent on their team colors. Cost: $70 per participant (includes LRC Logo Ball). _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Cut Here _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Registration Information: Participant Name:______________________ Alberta Health Care #:_____________________ Parent Name:_______________________ Home Phone:_____________________ Emergency Contact: ________________________ Phone:______________________ Email:_________________________ Address: _____________________ _____________________ Date of Birth: ______ Grade Level: ______ _____________________ Optional: 1) Can we contact you about possibly being an assistant coach or coach’s helper for your child’s team?(no exp. required) ______ 2) Do you have any information on a business that may consider being a jersey sponsor for a team? _______ Liability Release: I _____________________ (Parent Name) understand that rugby has inherent risks and that by allowing my son/daughter, ________________ to participate in mini-rugby I release the Lethbridge Rugby Club and any representative of the Lethbridge Rugby Club or any Coach designated by the Lethbridge Rugby Club from any liability concerning any harm that may occur to my child during mini-rugby. * Please include a check with the registration fee of $70 dollars made out to the Lethbridge Rugby Club with the registration form and mail it to: Nevin Morrison 2218 12th Ave. South Lethbridge, Ab. T1K 0P2 The registration deadline is April 9th. If you do not think that your letter will reach its destination by April 9th or you have any questions about this program, please contact Nevin at: 403-317-1500 or email: email@example.com. Download additional forms at: lethbridgerugbyclub.com
"Mini Rugby Regist - Lethbridge Rugby Club"