Birmingham Vulcans Rugby Club

Sign Up for Youth Rugby

NOTE: As of June 1, 2020 we plan to NOT charge dues for youth rugby in the summer of 2020 but the online waiver below must still be signed

Personal Information

Player Name

First Last

Name of Parent or Guardian

First Last

Email

Address

Street Address Address Line 2 City State ZIP Code

Parent Phone Number (player's # is acceptable if 18 years old)

Player's Date of Birth

View the Liability Waiver

Liability Waiver*

Parent or Guardian Signature*

Name

This field is for validation purposes and should be left unchanged.