CENTAURS RUGBY ACADEMY REGISTRATION 23/24

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PLEASE PROVIDE THE ATHLETE'S FULL NAME *

PLEASE PROVIDE THE ATHLETE'S BIRTH YEAR *

2005

2006

2007

2008

2009

2010 (BY INVITATION ONLY)

PLEASE PROVIDE THE ATHLETE'S GENDER *

MALE

FEMALE

PREFER NOT TO SAY

DID YOU PARTICIPATE IN SUMMER RUGBY WITH THE BURLINGTON CENTAURS IN 2023? *

Yes

IF YOU ANSWERED NO ABOVE, WERE YOU REGISTERED WITH ANOTHER RUGBY CLUB IN 2023? *

Yes

NOT APPLICABLE

HAVE YOU PARTICIPATED IN THE CENTAURS RUGBY ACADEMY IN THE PAST? *

Yes

HOW MANY YEARS OF RUGBY EXPERIENCE DO YOU HAVE? *

NEW TO RUGBY

1-3 YEARS

3 YEARS OR MORE

WHAT HIGH SCHOOL DO YOU (OR WILL YOU) ATTEND? *

HAS YOUR HIGH SCHOOL TRADITIONALLY HAD A RUGBY TEAM FOR YOUR GENDER? *

Yes

HAVE YOU PAID THE $250.00 REGISTRATION FEE BY E-TRANSFER TO academy@centaursrfc.com? *

Yes

Please provide all email addresses to receive correspondence about the program throughout the season *

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