Membership Checkout – Bangkok Lions Rugby Football Club

Membership Information

You have selected the Parent Registration membership level.

Account Information

Username

Password

Confirm Password

Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Parent Information

Parent/Guardian Mobile Number

Example: 0812345678

The information provided for the second parent is used solely for emergency contact purposes and does not create a separate user account. —

Parent/Guardian 2 Name

Parent/Guardian 2 Surname

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile Number

Agreements

Waiver of Liability

I have read and agree to the Bangkok Lions Rugby Football Club’s Waiver of Liability. I understand that participation involves physical activity and accept the terms outlined, including the release of liability, medical coverage expectations, and equipment policies.

Permission to Use Photographs

I have read and consent to the Bangkok Lions Rugby Football Club’s Photo Usage Policy. I grant permission for photographs of my child taken during club activities to be used for lawful purposes, including publicity, illustration, advertising, and web/social media content.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information

Card Number

Expiration Date

Security Code (CVC)

I agree to receive email communications from Bangkok Lions Rugby Football Club.

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