Support the team! Buy some merch or donate today.
Home
About
Locations
Alumni
Learn Rugby
Alex Fulk
Fans
Membership
Official Players
Eagle Members
High School Students
Contact
DONATE
Past Sponsors
USI Rugby Club Interest Form
*
Indicates required field
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
Example
Emergency Contact Person
*
First
Last
Emergency Contact Relationship
*
Father, Mother, Spouse, etc
Emergency Phone #
*
Comments or Questions
*
Submit
