Kids Registration - Cork Tag Rugby

League Amount*

€

Child Details* Add Child

Name:

Birth Date:

Gender:

Parent / Guardian Name*

Parent / Guardian Email*

Parent / Guardian Telephone No*

Parent / Guardian Eircode.*

I consent for medical treatment to be administered where considered necessary by first aiders or by suitably qualified medical practitioners. If my child needs emergency treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.*

I agree to allow Cork Tag Rugby to take photographs and/or video of my child which may be used on their social media platforms and website as promotional material.*

I accept these Terms & Conditions of Renegade Sports Ltd, trading as Cork Tag Rugby / Renegade Tag Rugby.*

Credit or Debit card*