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Club Registration Form
Club Information
Club Type
Official Team Name (Ignore if free agent)
City of Origin
Captain Information
First Name
Last Name
Email Address
Phone Number
Select an item ($)
Men's Rugby Club - Registration - $275
Women's Rugby Club - Registration - $175
Under 19 Club - Registration - $75
Under 16 Club - Registration - $75
Free Agent - $25
Complete Registration
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