Become a Pelican Youth

Are you ready to flock with us? We welcome all players and social members to the club regardless of rugby experience. Fill out the form below and we will be in touch. We look forward to seeing you on the pitch!

St Pete Pelican Youth Academy Form

Youth Program Player Info
Player Name*

First NameLast Name
Players Date of Birth*

MonthDayYear
Date
Parent/Guardian Name(s)*
Parent/Guardian Interested In:

CoachingClub ManagementAdminWatchingOther
Contact Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact Name(s) & Phone Number*
Please format as Name - (###) ### - ####
Should be Empty:

Become a Pelican Youth

St Pete Pelican Youth Academy Form