2018 Manusina 15's Oceania Championship
2018 OCEANIA RUGBY WOMEN'S CHAMPIONSHIP, NADI, FIJI NOVEMBER 15-24 2018
TAKING EXPRESSIONS OF INTEREST - IDEALLY YOU WILL BE PLAYING AT A PROVINCIAL LEVEL OR PREVIOUSLY REPRESENTED SAMOA. EXPRESSIONS OF INTEREST WILL CLOSE 21 OCTOBER 2018.
PLEASE DIRECT ANY QUESTIONS TO manusina.swr@gmail.com
FULL NAME (as per passport) *
Your answer
Preferred Name
Name you like to be known by or currently using that if different to your passport name.
Your answer
Date of Birth *
Players must be a minimum age of 18 years at time of tournament
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1st PLAYING POSITION *
Please enter Playing Positions in order of preference 1st, 2nd, 3rd (try limit to your 2 top positions)
2nd PLAYING POSITION
3rd PLAYING POSITION
HEIGHT *
In CMs
Your answer
WEIGHT *
In KGs
Your answer
Passport Number
If you do not have one already, you must obtain if selected to travel to Fiji for the tournament
Your answer
Passport Expiry Date
Your Passport should not be expiring this year or within 6months. If so you will have to renew.
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YYYY
VILLAGE(S)
Your family Village(s) in Samoa
Your answer
ADDRESS *
Please provide your residential address.
Your answer
CONTACT PHONE NUMBER *
Please provide best contact number for your either mobile, home or business
Your answer
EMAIL ADDRESS
Please provide your best email contact address, information regarding trials may be emailed to you
Your answer
CLUB/SCHOOL & PROVINCE i.e. Marist, Auckland *
Your answer
GRADE CURRENTLY PLAYING *
OCCUPATION
SCHOOL/UNIVERSITY ATTENDING
Name of School or Tertiary Education you are attending
Your answer
PLAYER ELIGIBILITY *
You are eligible to play for Samoa if you meet one of the following criteria, proof will be required if selected, please select one
Required
FITNESS RESULTS
Please list any recent testing around fitness & speed, i.e bronco's, yoyo/beep tests, speed 40m standing
Your answer
RUGBY AND OTHER SPORTING HIGHLIGHTS
Please list any School/Club Representative teams or Provincial/National teams you have played in the last 24months.
Your answer
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