2019 Wales Under 16 Trail Registration

1. Wales Under 16's Trial

Wales Rugby League will be holding the trials for the up and coming Wales Under 16 campaign. The event will take place in the following venues, Saturday 2nd March 2019 at Ystrad Mynach Centre of Sporting Excellence, Caerphilly Road, Ystrad Mynach Hengoed, CF82 7EP from 1300 - 1600. Saturday 23rd March 2019 Penlan RFC 1000 - 1300. If you wish to take part in this event please can you complete the attached form. If you have any question please contact Peter.tiffin@walesrugbyleague.co.uk

1. Personal Details

Full Name
Date of Birth
How do you qualify (parent, Grandparent etc)
School you attend
Club you play for
Preferred playing position
Alternate playing position
Your contact number
Your email if applicable
Height

2. Parents contact details *

Name	*
Relationship (mother, Father)	*
Telephone number	*
Email address	*

3. Please select the venue you would like to attend.

Saturday 2nd March - Ystrad Mynach
Saturday 23rd March - Penlan RFC