MEMBERSHIP Fill in the form below to be part of the action!Please ensure that you have read our Waiver before completing your membership.Membership is currently FREE Rugby 101 Membership Waiver Today's Date MM DD YYYY Name * First Name Last Name Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Gender * Female Male Category * Adult Youth 13yrs - 19 yrs Junior 4yr - 12 yrs Junior Age If you selected Junior Category please tell us your age. Junior Weight Class If you selected the Junior Category about please select the appropriate weight class. Junior - up to 46kg Junior - 47kg - 52kg Junior - 53kg - 60kg Junior - 61kg - 72kg Junior 73kg - 80kg Junior 81kg - 92kg Junior 93kg - 100kg Junior 100kg + None Youth Age If you selected Youth Category please tell us your age. Youth Weight Class If you selected the Youth Category about please select the appropriate weight class. Light Fly Weight (Female only) Fly Weight Bantamweight Featherweight Light Weight Light Welter Weight Welter Weight Light Middle Weight Middle Weight Light Heavy Weight Heavy Weight Cruiser Weight (Male only) Super Heavy Weight (Male only) None Adult Weight Class If you selected the Adult Category about please select the appropriate weight class. Bantamweight Featherweight Light Fly Weight (Female only) Fly Weight Light Weight Light Welter Weight Welter Weight Light Middle Weight Middle Weight Light Heavy Weight Cruiser Weight (Male Only) Heavy Weight Super Heavy Weight (Male Only) None Waiver * By ticking this box I agree, you have acknowledge that you have read and accept the waiver. I AGREE Rugby 101 Membership Waiver Rugby 101 Parental Consent