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Little Panther Flag Rugby Resgistration Spring '24

Ages 5-7 & 8-11

Participant First Name

Participant Age

Participant Shorts Size

Participant Last Name

Participant Shirt Size

Participant Shoe Size

Emergency contact 1 name

Emergency contact 2 name

Legal Guardian name

Emergency contact 1 phone

Emergency contact 2 phone

Contact Email

Upon checking this box I acknowledge I have read, and agree to the Player Participation, Hold Harmless, and Waiver of Liability Agreement available here.

Check out the Schedule on "SCHEDULE" Tab. Thank you for registering! You should receive a confirmation email, if you included a contact email address.

This form no longer accepts submissions.

Follow: Perry Panther Rugby

Email: Ashley Grace: PerryPantherRugby2015@gmail.com

Text/Call: 330-933-9824

© 2015 - 2024 - Perry Panther Rugby Inc

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