Registration Form – AGTR 2023

We hereby submit our team registration form for the 2023 All Girls Touch Rugby
Championship – AGTR 2023 :

Category/ Entry fee:

Girls Under 10/ 12/ 13/ 14/ 15/ 16/ 17/ IPT & Club - RM400.00 per team

Final Payment deadline: 15 September 2023 ( We have limited slots, so first come
first in basis with full payment. Early Birds Offer of RM350.00 per team, if
payment is made before 30 July 2023 )

Payable to:
Salbros Sports
Bank Islam
Account No. 1421 001 001 5032
Wangsa Maju Branch
Kuala Lumpur
SWIFT Code: BIMBMYKL

Team Name: ………………………………………………………………………………………

School KPM Code No./ Club PPSM Registration No: …………………………………….

Category: ………………………………………………………………………………………

Contact person: ………………………………………………………………………………………

Contact number and email:………………………………………………………………………….

Waiver of Liability:
In accepting to play in the 2023 All Girls Touch Rugby Championship , we hereby
release the organizers and other people involved in the organization of the
tournament and the venue from any liability concerning injury or harm suffered
by team during, or as a result of, participating in the 2023 All Girls Touch Rugby
Championship. We advise all participants to have valid medical insurance. We give
permission to the organizers of the tournament to provide emergency medical
treatment by qualified staff throughout the tournament and should it be deemed
necessary and or organize at the players expense an ambulance or other transport
for the registered team player. We acknowledge by signing this registration form
that we have read and agree with the details contained on this form and agree to
abide by the rules of the tournament.
Manager’s Name: …………………………………………………………………………………………

Signature :………………………………………………… Date:………………………………