For registrations please fill in the form below. Required information is marked with an asterisk (*); without this information the form cannot be submitted.

Bangkok Lions On Line Registration 2007 Sender's E-Mail * Sender's Name * Child's' Details First Name Surname Date of Birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   January February March April May June July August September October November December   1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2007 Address E-Mail Mobile Phone School Allergies / Sickness Has Your Child Played Rugby Before? Yes No Can Your Child Play in a BLRFC Representative Team if Selected? Yes No Parents' Details General Home Telephone No. Fax No. Can You Volunteer as a Helper   Coach Assistant Coach F&B Helper Mother First Name Surname E-Mail Mobile Phone Father First Name Surname E-Mail Mobile Phone

Kit sizes will be determined when the registration fee of THB 2,500.- is paid on dates to be announced. A copy of the attached disclaimer must be signed and presented when registration is paid. Click here for the Bangkok Lions RFC disclaimer.

© 2004 Bangkok Lions Rugby Football Club