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2025 Celtic Elite Rugby Contact Form
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I am interested in being selected for the Celtic Elite Rugby...
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Fiala Anthony
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Player Email Address
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Player Phone Cell Number (XXX-XXX-XXXX)
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Player Street Address, City, State, Zip
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Current School or Club (Full Name)
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Player age as of June 1, 2025
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2024-2025 School Year Class
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Current Rugby Position
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Desired Celtic Elite Rugby Position
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Legal Guardian Name (Last, First)
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Legal Guardian Email Address
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Legal Guardian Cell Number (XXX-XXX-XXXX)
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Legal Guardian Street Address, City, State, Zip
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I agree to provide an action rugby photo of myself to Celtic Elite Rugby via Instagram or Facebook messaging.  I understand and agree that this will be used in promotional materials and as identification during the selection process.
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Please include any information regarding experience, awards, and alternate positions that may help in the selection process.
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