Flag Rugby Player Registration

Player First Name: *

Player Last Name: *

Birth Date: *

Email: *

Parent Guardian First Name: *

Parent Guardian Last Name: *

Phone:

https://freejacks.com/free-jacks-academy-participant-form/ Please Read and Review the Player Participant Form: * By Submitting my Digital Signature I hereby acknowledge that I have read and agree to this release No

Parent Guardian Digital Signature: *

Date: *