WE LOOK FORWARD TO CONNECTING WITH YOU SOON!

First Name

Last Name

Email

If you attend college or high school, please let us know where: (or put n/a if not)

Phone

May we text you

Yes

No

Reason(s) for reaching out? (check all that apply)

I'm interested in playing adult rugby

I'm interested in playing youth rugby

I'm interested in coaching

I'm interested in refing

I'm interested in donating or sponsoring this year

I want to become a dues paying member

I just have a general inquiry

It's complicated

Anything else we should know?

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