BC Rugby - Canada Summer Games Interest Sheet

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* 1. Name:

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* 2. Birthdate

Birthdate

Date

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* 3. Club Team

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* 4. School Team

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* 5. Why are you interested in representing BC at the Canada Summer Games?

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* 6. Email address

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* 7. Phone Number

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* 8. Primary Coach

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* 9. Years Played Rugby