Birmingham Vulcans Rugby Club

Sign Up for Youth Rugby*

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Personal Information

Player Name*

First Last

Name of Parent or Guardian (if player is younger than 18)

First Last

Email to be added to TeamSnap or similar app*

Address

Street Address Address Line 2 City State ZIP Code

Parent Phone Number (player's # is acceptable if 18 or older)

Player's Date of Birth

View the Liability Waiver

Liability Waiver*

Signature. If player is younger than 18 this needs to be a parent or guardian.*

Phone

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