Lloyd & Steyn Rugby Academy

Academy Management Portal

SKILLS • STRENGTH • CONDITIONING

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Secure registration

Academy registration

Apply to join Lloyd & Steyn

Complete the registration below. Your application is submitted for Admin/Owner approval first. No active athlete account or billing schedule is created until the academy approves the registration.

Secure application • Admin approval required

Step 1

Parent / Guardian

Parent / Guardian Full Name *

Relationship

Mobile Number *

Email Address *

Residential Address

Emergency Contact

Emergency Mobile

Step 2

Athlete

Athlete Full Name *

Athlete Email / Gmail

Date of Birth

Select day, month and year · years 2026–1950

Gender

School

Grade

Primary Position

Secondary Position

Step 3

Programme & Service

Training Programme *

Pathway Level *

Service *

Step 4

Medical Information

Medical Alert / Condition

Allergies

Medication

Current Injury

Participation Status

Restrictions

Medical Aid

Member Number

Step 5

Consent & Declaration

Signed By *

Media Consent

I confirm that the information supplied is accurate and I consent to Lloyd & Steyn Rugby Academy using it for registration, coaching, safety and academy administration. I understand that this application is subject to academy approval.

No payment is taken by this form. The academy will review the application first.