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Atlantis Player Identification form
For players interested in the Atlantis High School 7's program who have not attended a prior Atlantis event (camp, clinic, tour, or an event for which you previously registered with us)
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* Indicates required question
Gender
*
Male
Female
Player first name
*
Your answer
Player Last name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Expected HS Graduation Year
*
Choose
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Adult
USA Rugby Membership #
*
Your answer
Player Cell Phone (610-555-5555)
*
Your answer
Player email
*
Your answer
School. Include State. EX: "Methacton High School, PA"
*
Your answer
Current Team or Club
*
Your answer
Parent/Guardian First Name (required for HS players)
Your answer
Parent/guardian Last Name (required for HS players)
Your answer
Parent Phone (610-555-5555) (required for HS players)
Your answer
Parent Email (required for HS players)
Your answer
2nd Parent/Guardian/Contact First name
Your answer
2nd Parent/Guardian/Contact First name
Your answer
2nd Phone (610-555-5555)
Your answer
2nd Email
Your answer
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