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2020 CRUSADERS INTERNATIONAL ACADEMY - PLAYER APPLICATION
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Email
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Your email
Which programme are you interested in applying for:
Preseason Training Programme (3rd - 28th February 2020)
Rugby Development 1 (9th March - 24th July 2020)
Rugby Development 2 (9th March -29th May 2020)
Rugby Development 3 (1st June - 24th July 2020)
Other:
CONTACT DETAILS
Surname
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone/mobile number (include country area code)
*
Your answer
Nationality
*
Your answer
Languages spoken
*
English
Other:
Country of residence
*
Your answer
Residential address
*
Your answer
Next of kin contact #1
Please supply details of who to contact in an emergency
Full name
*
Your answer
Relationship
*
Your answer
Phone number (including area codes)
*
Your answer
Email
*
Your answer
Next of kin contact #2
Please supply details of who to contact in an emergency
Full Name
Your answer
Relationship
Your answer
Phone number (including area codes)
Your answer
Email
Your answer
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