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TITANS RUGBY 2020
Titans Rugby 2020 Registration & Indemnity Form
Full Surname of player (as per passport or ID) *
Your answer
Full First Names of player (as per passport or ID) *
Your answer
Date of Birth of player *
MM
/
DD
/
YYYY
ID Number of player *
Your answer
Passport Number of player (if available)
Your answer
Gender of player *
Player's School *
Your answer
Player's Cell Number
Your answer
Player's Email Address
Your answer
Does the player have any any special dietary requirements? *
Please describe dietary requirements
please leave blank if none
Your answer
Medical conditions and prescription medicine *
Required
Medical Aid Name *
Your answer
Medical Aid Number *
Your answer
Shirt Size of player *
please note these are men sizes
Short Size of player *
Shoe Size of player *
Player's Position 01 *
player's primary position or closest position of choice
Player's Position 02
player's secondary or alternative position of choice
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