Expression of interest to play Devon ladies representative rugby 2017/18

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* 1. What is your full name?

First name

Surname

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* 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

Other (please specify)

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* 3. What are your contact details?

Mobile phone number:

Email:

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* 4. Have you played for Devon ladies before?

Yes

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* 5. Will you be attending the trials? (You are encouraged to make both events)

I will be attending 21/01/2018

I will be attending 11/02/2018

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* 6. What is your date of birth?

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* 7. What other 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

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* 8. What is your preferred position to play?

Loose Head Prop

Hooker

Tight Head Prop

Second Row

Flanker

Number 8

Scrum Half

Fly Half

Inside Centre

Outside Centre

Wing

Full Back

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* 9. 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.

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* 1. What is your full name?

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* 2. What club are you registered with?

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* 3. What are your contact details?

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* 4. Have you played for Devon ladies before?

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* 5. Will you be attending the trials? (You are encouraged to make both events)

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* 6. What is your date of birth?

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* 7. What other positions do you like to play? (You can select more than one option)

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* 8. What is your preferred position to play?

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* 9. 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.

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* 10. Please put name and phone number for person to contact in an emergency