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Child Name:
Child date of birth:
Parent Name:
Phone Number:
E-mail:
Location:
What would you like to help your child with by coming to Sense Rugby?
How can we help your child participate successfully?
I give permission for my child or ward to participate in the SenseRugby programme. While I appreciate the efforts made by the organisation to minimise the possibility of injury, I understand that there will remain some degree of risk inherent in participation in the programme. Please type your name in the box.

BRISBANE LAUNCH

10 FEB

9AM – 2PM(HOUR SLOTS WILL BE ALLOCATED)

KENMORE STATE SCHOOL

PORT MACQUARIE

17 FEB

9AM – 2PM (HOUR SLOTS WILL BE ALLOCATED)

EXACT LOCATION TO BE CONFIRMED

DARWIN

16 MARCH

9AM-2PM (HOUR SLOTS WILL BE ALLOCATED)

EXACT LOCATION TO BE CONFIRMED