Participant Details

Role in the Nomads Juniors Program*

First Name*

Middle Name

Last Name*

Nickame

Email Address*

Contact Number*

Facebook Name

Date of Birth*

Gender*

City or municipality of residence*

Nationality*

Child Safeguarding and Media Consent

Please download and accomplish the (1) Child Safeguarding Code of Conduct and (2) Media Consent Form below and submit a signed digital copy to youthrugby@manilanomads.com or a signed printed copy to Wyxie or Nicx on Sunday.

Download the forms HERE

Read the PRFU Child Safeguarding Policy HERE

Confirmation

I read, understood, and agree to abide the Child Safeguarding Code of Conduct.* YesNo

I read, understood, and agree to the Media Consent Form.* YesNo

I read, understood, and agree to abide the Privacy Policy.* YesNo

I confirm that I have submitted truthful and honest information that will enable me to participate in Nomads Juniors training and activities.* YesNo

I have reviewed the information and documents I have submitted.* YesNo

*required

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