This form will allow you to register up to four players for the Summer Rugby Touch program. If you do not have all of the required information you can save a draft of the form and return to complete the form at a later time. Upon completion of the form you will be required to pay your registration fees using a VISA or Mastercard.


To reveal or collapse a section of this form click on the red text adjacent to the relevant black arrow and the particular section will open (or close).
All fields marked with an asterisk must be completed.

Please let us know if you are able to help with the organisation of the Summer Touch Rugby program
Select one or more volunteer tasks.
Registered Player(s)

Harlequin Club Contact Information

Club Premises:

Power Avenue
Ashwood, Victoria, 3147
(Enter via Holmesglen Reserve)

Website Privacy & Terms of Use

The following terms and conditions apply to the use of the Harlequin website. To view our Privacy Statement and Website Terms of Use click on the relevant link below.

Rugby Union Websites

Clicking on the links below will open the various rugby union websites in a new window on your browser.