Currently ranked 4th in the nation. Onward, upward.
Home
About
Locations
Current Roster
>
2013-2014
2012-2013
Alumni
Learn Rugby
Alex Fulk
News
Schedule
Fall 2017
Fall 2016
Spring 2016
Fall 2015
Fall 2014
Spring 2014
Fall 2013
Spring 2013
>
Win vs WKU
Win vs UK
Win vs DePauw
Win vs ISU
Win vs Wabash
Fall 2012
Fans
Membership
Official Players
Eagle Members
Dues
Contact
Man of the Match
DONATE
Current Sponsors
New Page
New Page
USI Rugby Club Interest Form
Name
*
First
Last
Phone Number
*
Age
*
Email
*
T-shirt Size
*
S
M
L
XL
2XL
3XL
Height
*
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
Weight
*
in lbs
Level of Experience
*
None
Basic Understanding
Moderate Experience
Very Experienced
Level(s) of Commitment
*
Administrative / Coaching
Practices Only (low)
Practices & Non-League Matches (med)
Practices & League Matches (max)
Position(s) Played
*
Back
Forward
Support
I don't know
How many years of rugby experience (if any)?
*
Are you a student at USI?
*
No
Yes (part-time)
Yes (full-time)
Remember, only full-time USI students are allowed to play in league matches.
If you answered "No," do you plan to attend USI soon?
*
No
Yes (within 6 months)
Yes (within 1 year)
How do you plan to pay for USI & USA Rugby dues?
*
I will pay for myself
My parents will pay
I am willing to raise money
Example
Please provide a recent photo of yourself:
*
Max file size: 20MB
Example
Emergency Contact Person
*
First
Last
Emergency Contact Relationship
*
Father, Mother, Spouse, etc
Emergency Phone #
*
Comments or Questions
*
Submit
