274 Registration | SOULBROTHERS

SOULBROTHERS 274

Soul Brothers 274 is a partnership with the Ōtara Rugby League Scorpions & Sports Club. All junior participants, parents, and caregivers—please complete the registration form below.

soul brothers 274 registration

Junior Player Details

Junior Players First Name

Junior Players Last Name

School / Education Provider

Health / Medical Conditions

Emergency Contact (if different from Parent / Caregiver Below)

Parent / Caregiver Details

Parent / Caregiver First Name

Parent / Caregiver Last Name

Mobile Number

Wellbeing & Support

Are there any specific goals or challenges you would like support with through this program?

Declarations & Consent

Privacy Statement

The information collected in this form is confidential and will be used solely for the purpose of delivering and improving the Soul Brothers 274 program. Your details will not be shared with any third party without your consent, unless required by law. We are committed to protecting your privacy and handling all personal information in accordance with the Privacy Act.

Thanks for registering! We'll get back to you soon.