Player Information

* 1. What is your first name?

* 2. What is your last name?

* 3. What is your contact number?

* 4. What is your email address?

* 5. What is your date of birth? (DD/MM/YYYY)

* 6. Place of birth (Area, for example Caerphilly):

* 7. How long have you been playing rugby for? (Years)

* 8. Injury History:

(If you are under 18, please get a parent/guardian to fill in the parent information)

* 9. Parent Information:

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