Please fill out every field in order to adequately track parent and player information. 

* 1. Player Information - please enter PLAYER contact information only.

* 2. Date of Birth

* 3. Number of Years Played

* 4. What position(s) would you like to try or play?

* 5. What other sports or activities have you been a part of in your high school career?

* 6. What other activities do you participate in that may conflict with rugby?

* 7. Parent/Guardian Information

* 8. Second Parent/Guardian Information

* 9. Would you like to be involved in any of the following?

* 10. Additional Comments or Questions:

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