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

Player Information - please enter PLAYER contact information only.

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

Date of Birth

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* 2. Date of Birth

Number of Years Played

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* 3. Number of Years Played

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

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

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

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

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

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

Parent/Guardian Information

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* 7. Parent/Guardian Information

Second Parent/Guardian Information

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* 8. Second Parent/Guardian Information

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

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

Additional Comments or Questions:

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* 10. Additional Comments or Questions:

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