Rippa & Quick Rip (Y1-6) Registration Form

PLEASE NOTE PAYMENT IS REQUIRED AT THE END OF THIS REGISTRATION FORM.

IF YOU FILL IN THE FORM; BUT DO NOT COMPLETE PAYMENT WHEN PROMPTED - YOUR REGISTRATION FORM WILL NOT BE SENT.

YOU WILL RECEIVE A CONFIRMATION EMAIL IF YOUR REGISTRATION IS SUCCESSFUL.

PLEASE MAKE SURE YOU CHECK YOUR SPAM/JUNK FOLDER.

IF YOU DO NOT RECEIVE AN EMAIL, BUT THINK YOU HAVE PAID/REGISTERED, PLEASE CONTACT brookep@pillanspoint.school.nz

Child's first name *
Child's surname *
Year Level *
Room number *
Child's DOB *

This is to pass onto the WBOP Junior Rugby Officer . It will not be passed to anyone else and will remain confidential.

Are you happy for your e-mail address and mobile number to be shared with the team for contact purposes? *

This helps our Sports Co-ordinator, coaches and managers pass on details about practices, game times etc

Parent's name *
Mobile number *
E-mail address *
Please make sure the contact email and number you put in this form are the ones you would like to receive team / game information on.
Did your child play Rippa or RIP Rugby in Term 1? *
If yes, please name which team they were in? *
Would your child like to be in the same team as Term 1 if possible? *
Are you available to coach a team? *

Only basic coaching is needed, it's more about giving children some adult support to help them with basic Rippa Rugby skills and team work. If there is enough interest we will be able to bring in a coach to run a training session with the players and new coaches.

Are you available to manage a team?

Being the Team Manager involves being the team's key point of contact with the PPS Sports Co-ordinator.; and passing all correspondence from the Sports Co-ordinator to the team.

You would be responsible for logistics and organisation of the team. i.e. confirming practise times and game times with the team.

The Manager is also responsible for collecting the team's loaned shirts & shorts at the last game of the season, washing them and returning them to the Sports & Events Co-ordinator in the office 7-10 days after the last game.

If you are able to coach or manage a team are you happy for your contact details to be shared with the Kiwi Tag co-ordinator to communicate cancellations etc? *
If your child has any medical or other reason which may affect their ability to play or follow coaches instructions please give us some information here which you would be happy for us to share with the coach/manager in confidence
Do you have any requests for team placement?

NB: These are requests to do with transport & logistics (e.g. my child needs to be in the same team as XX as we will carpool).
Whilst we will do our best to fulfill all requests, this isn't guaranteed. Please email angelab@pillanspoint.school.nz if you need to send further info.
Type N/A if you have no requests.

I have read and agree to the guidelines of Extra-curricular Sports Code of Conduct & Statement of Intent: Children in Sport *

 

 

IMPORTANT!
This form requires a payment of $20.00.
After submitting this form, you'll be redirected to our payment page to make the payment and complete the form submission.
Failure to complete the payment will mean the form ISN'T submitted to the School, and if this is a registration form, your child will NOT be registered.