USA RUGBY WAIVER FOR UNDER 15 PLAYERS, ENROLLED IN HIGH SCHOOL, TO PARTICIPATE IN HIGH SCHOOL OR UNDER 19 RUGBY

Effective May 2013

This waiver may not be used for MIddle School players to play on a High School or Under 19 Rugby Teams. USA Rugby Eligibility Rules prohibit any players that is not enrolled in High School or of High School age to play for a High School or Under 19 Rugby team or club.

HIGH SCHOOL— RUGBY IS DEFINED AS RUGBY PLAYED BETWEEN PLAYERS ENROLLED IN HIGH SCHOOL OR OF HIGH SCHOOL AGE. THESE TEAMS MUST BE REGISTERED WITH USA RUGBY AS HIGH SCHOOL TEAMS/CLUBS. THIS INCLUDES HIGH SCHOOL, SINGLE SCHOOL, MULTI-SCHOOL, COMMUNITY CLUB TEAMS MADE PRIMARILY OF HIGH SCHOOL PLAYERS.

Policy:

No HIgh School Player, or under the age of 15 shall train, practice, play or be eligible to play High School or Under 19 Rugby without having first completed all applicable portions of this agreement. Completed agreements must be submitted to player’s club abd available for review upon request of any match opponents or administrator.

As per USA Rugby Eligibility Requirements the Undersigned consent to allow the player listed below to play High School or Under19 Rugby (other than fron row positions);and also agree to accept all responsibility and risks associated with playing in High School or U19 Rugby with players who may be stronger and more physically developed than the player. The Undersigned confirm that the player has an appropriate understanding of the physical attributes required of, and the risj to players playing High School or Under 19 Rugby aand that the player has the requisite skills and experience to play High School or Under 19 Rugby.

We the undersigned player, parent or guarian and coach, by signing this agreement agree that this document constitutes the required written agreement and consents required by USA Rugby Policy for Under 15 Playing High School or U19 Rugby, thereby allowing the following player to play High School or U19 Rugby.

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PLAYER NAME USA RUGBY REGISTRATION # SIGNATURE DATE

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COACH NAME USA RUGBY REGISTRATION # SIGNATURE DATE

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.PARENT or LEGAL GUARDIAN NAME SIGNATURE DATE