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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.

Thank you for registering! You should receive a confirmation email, if you included a contact email address.

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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