Rugby Online Application Form - Fountain Gate Secondary College

Student Details

Are you currently a student enrolled at Fountain Gate Secondary College? *

Student First Name *

Student Surname *

Student Email Address *

Year level in 2027 *

Current School *

Parent/Guardian Details

Parent Full Name *

Parent Email Address *

Parent Mobile *

Student Sporting Profile

Sport (optional)

Current Club (optional)

Age Grade (optional)

Position (optional)

Current Coach (optional)

Contact Details of Coach (optional)

Write about your Rugby Experience/Achievements if you have any (optional)

For example, Rugby Union, Rugby League, Rugby Sevens, Touch Rugby, School Rugby Union or League.

Other Sporting Experience/Achievements (optional)

Program & Goals

Explain in your words why you think you are suited to this program and why you want to be part of this program (optional)

Indicate what goals/aims you have for your current sport

Please enter your short term and long term goals below.

Short term/immediate goals (optional)

Long term goals (optional)

References

Please attach a ZIP file of all your references here. This should address your skills, attributes, attitude, work ethic and level of commitment to your endeavours. Try to use a coach or teacher that can comment on these things, as a referee here.

Please include the Referee's Name, Signature and Date in their reference.

References Attachment *

Drag & drop files here or browse

Max 10MB per file • ZIP, PDF, DOC, DOCX, JPG, JPEG, PNG • Up to 3 files

Accepted: ZIP, PDF, Word or image files. Up to 3 files, 10MB each.

I have read and accept the privacy policy. I consent to my personal information being collected and processed for the purpose of responding to this enquiry. *