TOURNAMENT APPLICATION

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Email *

Your email

First Name of Athlete: *

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Last Name of Athlete: *

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Athlete Gender: *

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Female

Male

Birthdate: *

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DD

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YYYY

Club Name, City and State *

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Rugby Level: *

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Beginner

Intermediate

Advanced

Your Phone Number: *

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Your Coach Name and Phone Number: *

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Your parents phone number: *

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Your parents email address: *

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