IQ Rugby and IRFU Exiles Player Registration
If you are Irish Qualified through Birth, Parents or Grandparents and want to receive information regarding the IQ Rugby and IRFU Exiles Player Pathway please sign up.
Email address *
First Name *
Last Name *
Playing Position *
Required
Player Contact Mobile Number *
Home Postcode *
Parent Name (First and Surname) *
Parent/Guardian contact telephone number (including any country or area codes) *
Parent or Guardian email address *
Please check this box to confirm that if you are under 18 your parents/guardian are happy to be contacted with information regarding the programme *
Required
Current Age *
Date of Birth (please either use the calendar or add your DOB in the following format (PLEASE ENSURE YOU LIST CORRECT YEAR OF BIRTH NOT 2019 or 2020) *
MM
/
DD
/
YYYY
Gender *
How do you qualify to play for Ireland?* *
Which School/College/University you currently attend? *
Which Club do you currently play for? *
Please detail any Representative Rugby experience you have (Including any English Premiership Academy programme)
How did you find out about the programme?
Clear selection
Do you have any nutritional requirements or allergies (Vegetarian, Vegan, Nuts, Diary etc) *
If Yes, please give details below
Consent to video and or photographs being taken during sessions for website, print media and social media purposes
Clear selection
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