Registration for Devon RFU Women's Development Day 25-02-18 Question Title * 1. What is your full name and DOB? First name Surname DOB Question Title * 2. What club are you registered with? Plymouth Albion Topsham Cullompton Bideford Newton Abbot Plymstock Albion Oaks Withycombe Paignton Honiton North Tawton Crediton Teignmouth University of Exeter With Plymouth University Marjon University Devonport Services Totnes Other (please specify) Question Title * 3. What are your contact details? Mobile phone number: Email: Question Title * 4. What would you like to get from the development day? Question Title * 5. What is your level of playing experience? (please put level played at/how many years etc). This is so we can ensure we provide coaching at all levels appropriate from brand new to experienced player. Question Title * 6. What positions do you like to play? (You can select more than one option) Loose Head Prop Hooker Tight Head Prop Second Row Flanker Number 8 Scrum Half Fly Half Inside Centre Outside Centre Wing Full Back Question Title * 7. What would you be interested in participating in at the Development Day (please tick all of interest) Front row clinic Second Row clinic Back row clinic Kicking clinic Backs moves clinic Scrummaging clinic Line out clinic Rucking /Jackling clinic Mauling clinic Other (please add anything else you would like us to coach) Question Title * 8. Do you have any allergies or medical issues we should be aware of? (ie asthma/diabetes/allergies). Please also add what you use to treat the condition. Please put none if you do not have any medical issues or allergies. Question Title * 9. Please put name and phone number for person to contact in an emergency Question Title * 10. Are you happy to play a game of contact rugby at the end of the day? Yes No Done