Form

USA Rugby Women Junior All-American Nomination Form

*Nominated players must be born on or after September 1, 1992*
Submitted by (First Name)*
Submitted by (Last Name)*
Your Phone Number
- Area Code Phone Number
Your E-mail address*
Your Relationship to Nominated player*
Other Relationship
Nominated Player Information
Player First Name*
Player Last Name*
Birth Date*
Month Day Year
Player E-mail*
Player Phone Number*
- Area Code Phone Number
Current Residence City and State
Clubs Playing/ Played For*
Position #1*
Position #2
Player's Coaches First Name*
Player's Coaches Last Name*
Coaches Email*
Coaches Phone Number
- Area Code Phone Number
Player Height*
Player Weight (Lbs)*
For informaiton on Assessments, please visit http://www.eagle365.net/player-development/physical_dev/strength-and-conditioning-program/
Beep Test Final Successful Lap Score*
70m Shuttle Repetition 1
70m Shuttle Repetition 2
70m Shuttle Repetition 3
70m Shuttle Repetition 4
70m Shuttle Repetition 5
70m Shuttle Repetition 6
Regional Camp Location Preference
Second Choice Regional Camp Location
Additional Information?
Click to edit
Should be Empty:

USA Rugby Women Junior All-American Nomination Form