2017 High School Club Rugby NIT Application
Team Name (as registered with USA Rugby) *
Your answer
USA Rugby Team registration number *
Your answer
Head Coach Name *
Your answer
Head Coach CIPP number *
Your answer
Head Coach email address *
Your answer
Head Coach phone number *
Your answer
Head Coach mailing address *
Your answer
Assistant Coach #1 Name *
Your answer
Assistant Coach #1 CIPP number *
Your answer
Assistant Coach #2 Name *
Your answer
Assistant Coach #2 CIPP number *
Your answer
Assistant Coach #3 Name *
Your answer
Assistant Coach #3 CIPP number *
Your answer
Team Manager Name *
Your answer
Team Manager email address *
Your answer
Team Manager phone number *
Your answer
Are you in good standing with your LAU/SBRO/Territory? *
If you answered no above, please explain the details.
Your answer
Will all players be enrolled and attending an accredited high school at least 30 days prior to the Girls HS Club NIT Championship? *
Will all players be eligible according to USA Rugby rules, and registered as USA Rugby Members at least 30 days prior to the NIT? *
Please provide the number of players your team registered with USA Rugby last year. *
Your answer
Will the team travel with a trainer/medical staff? *
Does the team have two different color sets of 22 numbered, matching jerseys, shorts, and socks? *
How many high schools contribute players to your team roster? *
Your answer
What is the history of your attendance and success at the previous Girls High School NIT? *
Your answer
What specific big game success and on field accomplishments has the team had within the last five years? Include overall win-loss records. *
Your answer
Provide date of State Championship. *
Your answer
Reference #1 name *
Your answer
Reference #1 email address *
Your answer
Reference #1 phone number *
Your answer
Reference #2 name *
Your answer
Reference #2 email address *
Your answer
Reference #2 phone number *
Your answer
Why does your team deserve to compete and in which division do you think your team will best fit? *
Your answer
Does your club have a girls middle school or U14 team? *
Please list all current players (that could be traveling with the team) and their CIPP number *
Your answer
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