Rugby Texas Application for Scholarship
This application is for the Rugby Texas dues only.  You will receive an email of the status of your application within 48 hours of submission.
Please fill out one (1) form per player.
Rugby Texas dues are as follows: 
High School Contact Player: $65
Youth Contact Player: $35
Non-Contact Player: $5
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Email *
By giving my name in the box below, I affirm that I am at least 18 years old and/or the parent/guardian of the player in which I am requesting the scholarship for. *
Are you applying for a full or partial scholarship? *
Parent's Full Name *
Street Address, City, State and Zip Code *
Phone Number *
Parent's email (you must use the email that you will use to register within Rugby Xplorer) *
Number of people in household *
Number of people enrolled in school *
Annual income range *
Player's name requesting scholarship *
Home Club *
School *
Grade level *
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