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12
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1
Program Interest
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Girls' Rugby
Boys' Rugby
Co-ed Flag
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2
What Grade are you in?
*
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12th
11th
10th
9th
8th
7th
6th
Parent/Guardian
Other
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3
Name
*
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First Name
Last Name
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4
Email
*
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example@example.com
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5
Phone Number
Please enter a valid phone number.
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6
What school do you attend?
*
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7
Do you play other sports, if so which ones?
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8
Guardian Name
First Name
Last Name
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9
Guardian Email
example@example.com
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10
Guardian Phone Number
Please enter a valid phone number.
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11
Comment
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Created with Sketch.
Ok
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12
Are you a Bot?
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