NERFU New Team Application
For new or returning teams wanting to join the New England Rugby Football Union
Detail of Person making this application
Name of Person Applying
*
Your Email Address
*
Your Phone Number
*
###
-
###
-
####
New Club Details
Official Team Name:
Club Type
*
Senior Mens Club
Senior Womens Club
College Mens Club
College Womens Club
U19/School Boys Club
U19/School Girls Club
Requested Level of Play
*
Division 1
Division 2
Division 3
Division 4
Non-Competition Social
Club Mailing Address
*
Street Address
*
Address Line 2
City
*
State / Province / Region
*
Postal / Zip Code
*
Country
*
Home Field Address / Location
*
Club Website Address
*
Club Jersey Colors
*
Club President Contact Details
Club President
*
Prefix
First
*
Last
*
Suffix
President Email Address
*
President Phone Number
###
-
###
-
####
Match Secretary Contact Details
Match Secretary Name
*
Prefix
First
*
Last
*
Suffix
Match Secretary Email
*
Match Secretary Phone Number
###
-
###
-
####
Club Coach Contact Details
Club Coach's Name
*
Prefix
First
*
Last
*
Suffix
Club Coach's Email
*
Club Coach's Phone Number
###
-
###
-
####
School Sports Director Details
Required only if club is associated with a University, College, or School
Sports Director Name
Prefix
First
Last
Suffix
Sports Director Email
Sports Director Phone Number
###
-
###
-
####
Name of University, College or School
University, College, School Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
*
We have read and are prepared to comply with NERFU's rules and regulations contained in the NERFU By Laws and Handbook.
NERFU By Laws and Handbook can be found at: http://nerfu.org/page.php?page_id=23001
Image Verification
Please enter the text from the image
:
[
Refresh Image
] [
What's This?
]
Powered by
EMF
Online Form Builder
Report Abuse