SCRU Colts (U19) Survey for 2017 Question Title * 1. Current School/Occupation Question Title * 2. Year of Birth (i.e. 1998) Question Title * 3. Sex Male Female Question Title * 4. Where will you be living in 2017? Sunshine Coast Brisbane Gold Coast Other (please specify) Question Title * 5. Are you interested in playing rugby in 2017? Yes No Not sure Question Title * 6. If no, why? Question Title * 7. If yes, then which day would you prefer to play on? Friday Night Saturday Either Question Title * 8. Which club would be your first preference? Brothers Caloundra Gympie Maleny Maroochydore Nambour Noosa University Fraser Coast Question Title * 9. Preferred Contact Method Email Facebook SMS Friends & Family Other (please specify) Question Title * 10. Email Address (optional) Done