NZR Parent_Guardian Acknowledgement Form

Dear Parents

Your son/daughter is under age 18 at 1 January and has indicated he/she wishes to play adult rugby in <<INSERT UNION>>. Under New Zealand Community Rugby Policy #9 <<INSERT NAME>> is required to obtain permission from their parent/guardian/caregiver for this to occur.

Please complete the form below and return it to your Team’s Manager.

PERMISSION SLIP

Player’s Name: ___________________________________________

I give permission for my son/daughter to play rugby for the <<INSERT CLUB>> club in the <<INSERT GRADE>> grade in 2016.

Parent’s Name: ___________________________________________

Signature: ________________________________________________

Phone Number: ____________________________________________

Date: ____________________________________________________