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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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