Youth Rugby Overseas Tour Consent Form
Player's Full Name
Date of Birth
Parent/Guardian Name
Contact Number
Email Address
Tour Details
Destination
Dates of Tour
Club/Team Name
Medical Information
Any medical conditions/allergies
Any medication to be taken
Doctor's Name and Contact
Emergency Contact Name
Emergency Contact Number
Consent Statements
I consent to my child participating in the above overseas rugby tour.
I confirm that medical information provided is correct.
I give permission for medical treatment to be sought if necessary during the tour.
I acknowledge and accept the risks involved in this activity.
Parent/Guardian Signature
Date