Celtic Elite Rugby Contact Form

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Sign-up sheet for players interested in being selected for the Celtic Elite All-Star teams.

I am interested in being selected for the Celtic Elite Rugby... *

Player Name (Last, First) *

Player Email Address *

Player Phone Cell Number (XXX-XXX-XXXX) *

Player Street Address, City, State, Zip

Current School or Club (Full Name) *

2023-2024 High School Class *

Current Rugby Position *

1 Loose-head Prop

2 Hooker

3 Tight-head Prop

4 Left Lock

5 Right Lock

6 Blind-Side Flanker

7 Open-Side Flanker

8 Number-8

9 Scrum Half

10 Fly Half

11 Left Wing

12 Inside Center

13 Outside Center

14 Right Wing

15 Full Back

Desired Celtic Elite Rugby Position *

1 Loose-head Prop

2 Hooker

3 Tight-head Prop

4 Left Lock

5 Right Lock

6 Blind-Side Flanker

7 Open-Side Flanker

8 Number-8

9 Scrum Half

10 Fly Half

11 Left Wing

12 Inside Center

13 Outside Center

14 Right Wing

15 Full Back

Legal Guardian Name (Last, First) *

Legal Guardian Email Address *

Legal Guardian Cell Number (XXX-XXX-XXXX) *

Legal Guardian Street Address, City, State, Zip *

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. *

Yes

Required

Please include any information regarding experience, awards, and alternate positions that may help in the selection process.

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