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Rugby Sign Up Form
Please provide contact info if interested in playing youth rugby
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* Indicates required question
Email
*
Your email
Which rugby program are you interested in?
High School (Western Counties Force HS)
Middle School (Western Counties Force MS)
Youth Rugby (Warriors >10 years)
Flag Rugby (Warriors <10 years)
Player Name
Your answer
Player's email
*
Your answer
Player's Phone Number
Your answer
Player Date of Birth
MM
/
DD
/
YYYY
Player Gender
Male
Female
Prefer not to say
Clear selection
Player School
Your answer
Grade
*
Choose
6th Grade
7th Grade
8th Grade
Freshman (9th Grade)
Sophomore (10th Grade)
Junior (11th Grade)
Senior (12th Grade)
School Attending
*
Your answer
Current Sports Played
*
Rugby
Football
Soccer
Wrestling
Lacrosse
Other:
Required
Parent 1 Email
Your answer
Parent 1 Phone Number
Your answer
Parent 2 Email
Your answer
Parent 2 Phone Number
Your answer
TeamSnap Information
We will use the above information in our Teamsnap. We use Teamsnap for team communications, schedules and alerts.
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