D&W Girls Rugby 2017 - U18's CoE information

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* 1. Players Name

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* 2. Playing Time (In years)

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* 3. Levels Played in other Sports

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* 4. Player's email & mobile number

Email Address

Phone Number

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* 5. Term Time address and Post Code, if away from home address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Emergency Contact Name (I know I have these, but in some cases I have more than one and am only allowed to put one on the form)

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* 7. Emergency 1 - Contact Phone number

Phone Number

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* 8. Emergency 2 - Contact Phone number

Phone Number