Rugby Australia Registration Refunds & Credits
The purpose of this form is for you to provide feedback if you want Rugby Australia registration fees to be either:

1. Donated to Rugby Victoria 2021 Game Development activity; OR
2. Refunded to you due to financial hardship.

You need to complete this form for each player by Thursday, 22 October.

If you want your 2020 registration fees applied as a credit towards 2021 registration fees DO NOT complete this form.

The information in this form will be shared with Rugby Victoria to enable them to action your preferred choice with Rugby Australia.
Email address *
Player first name *
Player surname *
What part of the club do you play for? *
How do you want your registration fees treated? *
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