Entry Form

Please complete the form below or alternatively complete our paper based form which can be downloaded and returned to us

To download our paper based form click here

Team Information

Team Name:

Select your teams division

Monday

Mens:
Womens:

Thursday

Mixed:
Mens:

Team Captain

Captains Name:

Email address:

Telephone:

Mobile:

Work:

Please include £50 deposit or total fee £250. Make cheques payable to; TOUCH RUGBY WALES. Note total cost for season is £250 or reduced to £200 if registering before April 15 or, please pay online using PayPal on this site. Under 19 teams cost is £150 for the season.

Captains are requested to suggest a member of their team who may be required to referee. Teams providing a regular referee are eligible to a further £50 discount refunded at the end of the season.

Designated Team Referee

Name:

Email address:

Telephone:

It is recommended that captains photocopy this document and get players to sign it also.

INSURANCE RESPONSIBILITIES

Further to your application to play Touch Rugby, both Cardiff City Council playing fields Hailey Park ACTING AS THE VENUE and "TOUCH RUGBY WALES" acknowledge NO RESPONSIBILITY whatsoever for any injury or accident to any of your club's or team's players which may occur at THE VENUE whilst competing in the Touch Rugby Competition.

Responsibility for insurance against accident or injury to your players lies entirely with your club, team or individual concerned.

In "plainspeak" Touch rugby is a "non collision" sport but players can sustain injuries such as pull muscles, twisted joints or tear ligaments, so this is simply an agreement saying that you enter the club, venue and play at your own risk.

Cars are also parked at the owner's risk.

In returning this form, the VENUE CLUB (Llandaff North RFC, Hailey Park) and Touch Rugby Wales assume that team managers have informed all of the team players of their own responsibility for insurance.

ACKNOWLEDGEMENT OF RESPONSIBILITY FOR INSURANCE RECEIPT CLAUSE

On behalf of (team)

I (Captain's name) acknowledge a copy of the above notice and confirm acceptance of its terms.

Date: 23,05,2013

Please check this box to confirm that you have read and understood the Terms and Condiditions

I have read and understood the Terms and Condiditions

Please read our terms and conditions by clicking here (there are positioned below the paper based form)

Telephone David on: 029 2071 2362
Mobile: 07814 169 558
or e-mail info@touchrugbywales.co.uk