Register for the Rugby 101 Clinic

POSTED 26 Feb 2009

Use this form to register for the San Francisco Fog Rugby 101 Clinic on Sunday, January 29, 2012 at 11am.

By registering, you insure your place in the clinic, which helps us plan the best possible experience for everyone involved.

CONTACT INFORMATION

Note: We will only use this information to contact you regarding the Rugby 101 Clinic.

First name: *

Last name: *

Nickname (if any):

E-mail address: *

Phone no.:

ABOUT YOU

Providing this information will help us plan the best clinic possible for all participants.

Your height: *

Your weight: *

Your age: *

Have you ever watched rugby, either in person or on television?: *

No

Yes

Have you ever played or practiced rugby before?: *

No

Yes

Describe any prior rugby playing experience, including where, how long, and at what level:

"Level" means whether you played at school, college/university, or club. If you played a particular position, let us know that as well.

ADDITIONAL INFORMATION

How did you hear about the Rugby 101 Clinic?: *

If you were referred by a club member, a publication, website, or event, please provide the name here:

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