Pumas Touch Rugby Tournament

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Event Timing: Saturday 10th July, 2021, 11:00
Event Address: Titchfield Common, Hunts Pond Road,(Opposite Sir Joseph Paxton), PO14 4PF
Contact Alan Palmer on fastflanker@btinternet.com or 07539 873562

Email *

Team Name *

Team Manager *

Telephone number *

Affiliated with a club? *

Yes

Club Name

Player Details 1-10

Must include 1 x Female, 1 x Youth age 16 - 19 (DOB), 1 x Veteran Over 40 (DOB)

Please indicate which player(s) are experienced enough to referee matches on the day (At least 5 years playing history, coaching level 1, or significant touch rugby experience) by writing REF next to their names

Player 1 (Female) *

Player 2 (Age 16-19, state DOB) *

Player 3 (Veteran, Over 40, state DOB) *

Player 4 *

Player 5 *

Player 6 *

Player 7 *

Player 8 *

Player 9 *

Player 10 *

Registration fee of £50 must be made upfront

Payment by bank transfer REF: TOUCH21 (And your name)

Account No: 93682064 Sort Code: 20-30-89

A copy of your responses will be emailed to the address you provided.

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