WASPS RUGBY CLUB

Ladies Player Registration

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Ladies Player Registration

R600 for registration

Please complete the following form to register for the 2024 Season. If you do not pay on completing your registration online, please contact the Junior Club Manager to pay via card or with cash.

R600,00

  • *Player Full Name and Surname

    *Player ID Number
    Foreign ID Number

    For non-South African Citizens

    *Player Date of Birth
    Player Age Group 2024

    The age he/she turns this year will determine the age group. Example turning 8 this year = Under 8

    Player Gender
    Player Nationality

    *Player Home Address

    *School Player Attends
    *Grade at School this Year
    *Race of Player
    *Medical Aid
    *If you answered yes to medical aid, kindly provide the name of the medical aid scheme

    State 'Not Applicable' if it does not apply. 

    *If you answered yes to medical aid, kindly provide the name of the principal member on your medical aid
    If you answered yes to medical aid, kindly provide your medical aid membership number
    *Does the player suffer from any allergies/medical conditions?
    *If you answered yes to allergies or medical conditions, kindly stipulate allergy/condition below

    State 'Not Applicable' if it does not apply. 

    *Has the player suffered a concussion within the last 3 months?
    If you answered yes to concussion, kindly provide details of the doctor who cleared the player to resume training
    If you answered yes to concussion, kindly provide details of the doctor who cleared the player to resume training
    *Is the player currently recovering from any serious injury?
    *If you answered yes to injury, please provide details below?

    State 'Not Applicable' if it does not apply. 

    *Parent/Guardian 1 Name and Surname
    *Parent/Guardian 1 Cell Number
    Parent/Guardian 1 E-mail Address
    *Parent/Guardian 2 Name and Surname
    *Parent/Guardian 2 Cell Number
    Parent/Guardian 2 E-mail Address
    *Emergency Contact (Not living with you) Name and Surname
    *Above Emergency Contact (Not living with you) Telephone Number
    Is the player currently playing club rugby?
    If you are currently playing for another club, please state the name of the club you are playing for:

    (Please note that you will need to request a formal transfer)

    *I hereby acknowledge that a gum guard is compulsory for all age groups
    *I hereby acknowledge that no weapons nor alcohol will be permitted on Wasps premises or at events hosted by Wasps
    *I hereby acknowledge that I will abide by the club's code of conduct & indemnity as set out by the Boksmart Code of Conduct
    I am available to help as a volunteer?
    *I hereby acknowledge that my son/daughter's photo might appear on one of our social media platforms
    *Player's Preferred Position

    Multiselect Possible

    *Please upload player birth certificate/ID Book/Passport Copy
    *If you have medical aid, please upload a copy of your medical aid card (back and front)
    *Please upload a head & shoulders picture of the registered player