Surrey Women Vets County Player Registration

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Your Details

These details are for you, the Player, and will be used by the County administrators.

First Name(*)

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Last Name(*)

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Rugby Club

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Your RFU Registration Number

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About Your Rugby

Please tell us your first and second playing position preferences.

1st Preferred Position(*)

1st Preferred Position

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

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2nd Preference(*)

2nd Preference

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

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Email Address(*)

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Current Address 1(*)

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Address 2

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Town / City(*)

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Post Code(*)

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Home Tel. No.

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Mobile Tel. No.(*)

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Town of Birth(*)

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Date of Birth - you must be over 35 years of age(*)

...

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Emergency No(*)

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Gender(*)

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Your Medical History(*)

Please enter here ALL relevant details OR type NONE Invalid Input

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