NERFU Tournament Application Form
Liability Insurance Carrier, Agent and Policy # *
If you plan on using USA Rugby's Insurance you must get their sanction before proceeding. Details on this can be found here: http://usarugby.org/event-sanctioning
If you are purchasing event insurance for your tournament please provide those details here.
Today's Date *

MM		/
DD		/
YYYY
Tournament Date (1st Choice) *

MM		/
DD		/
YYYY
Tournament Date (2nd Choice) *

MM		/
DD		/
YYYY
Seconnd choice does not mean that you will automatically be assigned this date if your first choice is taken. It is very possible that neither your first or second choice will be available and that you will have to find other dates.
Participating Clubs Entrance Fee (1st Team) *
Participating Clubs Entrance Fee (2nd Team if applicable)
Participating Clubs Entrance Fee (3rd Team - if applicable)
Tournament Name *
Host Club / Organization *
Number of Pitches *
Pitch Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Pitch Dimensions *
Length (including try zones) x Width in yards or meters
Number of Tournament Divisions *
Minimum Number of Teams *
Maximum Number of Teams *
Minimum Number of Matches per Team *
Length of each Half to be played *
Type of Tournament *
If Other Type of Tournament - Please explain
Participants (Select all that apply) *
 Club/Grad School Men 
 Club Women 
 College / U23 Men 
 College / U23 Women 
 U19 /School Boys 
 U19 / School Girls 
Match Format *
 15's 
 10's 
 7's 
 Touch 
Tournament / Bracket Format(s) *
Overtime / Tie Breakers *
Cancellation / Refund Policy (if Tournament is cancelled *
You MUST have a cancellation and refund policy.
Special Rules / Notes *
Name(s) and phone numbers(s) of on-site Medical Staff *
You MUST have on-site medical staff.
Available Ambulance Service (include phone number and distance from pitch *
Nearest Hospital Name & Address *
Printed copies of directions to hospital must be available at Tournament site.
Street Address *
Printed copies of directions to hospital must be available at Tournament site.
Address Line 2
Printed copies of directions to hospital must be available at Tournament site.
City *
Printed copies of directions to hospital must be available at Tournament site.
State / Province / Region *
Printed copies of directions to hospital must be available at Tournament site.
Postal / Zip Code *
Printed copies of directions to hospital must be available at Tournament site.
Country *
Printed copies of directions to hospital must be available at Tournament site.
Host Organization is required provide water and ice at Tournament site *
 Acknowledged 
Name of Person making application *
Prefix
First *
Last *
Suffix
Contact Phone Number *

###		-
###		-
####
Contact Email Address
Tournament Website
Image Verification
captcha
Please enter the text from the image:
[Refresh Image] [What's This?]
Powered byEMF HTML Contact Form
Report Abuse