Player Application

Player's Name (as it appears on passport) *
Player's Name (as it appears on passport)
Mobile Phone *
Mobile Phone
Player's Date of Birth *
Player's Date of Birth
Address *
Address
If not a USA citizen or if a dual citizen please add country of citizenship:
USA Rugby Membership *
Are you a current registered member of USA Rugby? All participants will need to be registered before being accepted into a combine, clinic, training, etc.
In inches
In pounds
Highest Level of Rugby Experience *
Mark all that apply
Describe highest level of rugby experiences and highlights
Describe experience in other sports and achievements
Please describe leadership experiences on and off the field (rugby and / or otherwise)

Please note all participants must be registered members of USA Rugby before participation in any Rugby Club New England identification camps, clinics, or trainings.