Wales Under 16 Trial Registration

1. Wales Under 16's Trial

On Saturday 29nd June 2019 from 12:00 - 15:00, Wales rugby league will be holding the trial for the up coming campaign. The event will take place in the Queensway Stadium, Queensway, Wrexham, LL13 8UH. 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

2. Parents contact details

Name
Relationship (mother, Father)
Telephone number
Email address