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Members
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Rugby 101 Registration

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Name *

First

Last

Pronouns

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *

Shirt Size *

XS
S
M
L
XL
XXL
3XL

Past Experience *

None
Played Other Sports
Played Rugby (detail below)

If you have played rugby, please provide details of your past experience, including position and/or past club affiliation.

Which day(s) do you want to attend? *

Wed • April 30
Wed • May 7
Both!
Not sure, please send more info

Agreements (check all boxes) *

I meet the health/vaccination requirements — or will by the time I attend practice.
I am a resident of the state of California — or will be by time I attend practice.
I agree to allow my likeness to be featured in print, social, visual or video media.
I understand and agree to uphold the Rebellion’s principles of inclusion.

WHO WE ARE

For over two decades, Rebellion Rugby has been fighting for LGBTQIA+ representation and inclusion in athletic spaces. We’re a Division III club competing throughout Southern California and around the world, introducing rugby to LGBTQIA+ and allies at all skill levels, body types, ages, and sexual & gender identities.

Whether you’re a weekend warrior, a total beginner, or just cheer from the sidelines, there’s a place for you in the Rebellion family!

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