Rugby Recruit Questionnaire
Email
Secondary Email
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Please fill out the form below:
Email address *
General
First Name *
Last Name *
Home Address 1
Home Address 2
City
State
Zip
Contact Number
Cell Phone Number
Graduation Year
Background
Mother's Name *
Mother's Phone Number
Mother's Email
Father's Name *
Father's Phone Number
Father's Email
Parents Occupation
Submitted Video
Yes
No
Date of Birth
x/x/xxxx
Have you visited Campus
Yes
No
Academic
High School *
School Name
Address 1
Address 2
Address 3
City
State
Zip
Country
School Phone Number
Counselor's Name
Class Rank
GPA *
SAT Math
SAT Verbal
SAT Writing
SAT or ACT Total *
Academic Honors
Intended Major
Other College Choices
Athletic
Position
Prop
Hooker
Lock
Flanker
8-Man
Scrum Half
Fly Half
Center
Wing
Fullback
Height
Feet" Inch'
Weight
HS Coach's Name
HS Coach's Phone
HS Coach's Email
Team Honors
Individual Honors
Male or Female
Submit
* required field