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Why Western
Alumni
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BECOME A MEMBER
Join the Team
Alumni Membership
I’m Interested
Please fill out the form as completely as possible. Your submission will be forwarded to Director of Rugby and Head Coach Paul Horne.
First Name*
Last Name*
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Country*
Email Address*
Phone Number*
Personal Info
What High School do you (or did you) attend?*
High School Graduation Year*
High School GPA*
Academic Honors
Height and Weight*
What other sports do you play or participate in?*
List any sports awards/honors (other than rugby) you have received
Rugby Experience
How many years have you been playing rugby?*
Positions?*
List any the Teams or Clubs you have played for*
List the names of your last two coaches and their contact info*
Has anyone else in your family played rugby? Where?*
List any rep sides you have played for and any other rugby honors
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