'13-'14 USA Rugby Transfer Requests

USA Rugby Transfer Request
If you are a High School member please contact your local state administrator so that they can process your initial transfer request. You can find their contact information at http://www.usarugby.org/sro.
Player Information
Player's Full Name
Player's Date of Birth

MonthDayYear
Player's Member Number (CIPP Number)
Player's Contact Information
Phone Number

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Player's Old Information
Old Club
Old Club's Senior Club Union
Old Club's College Conference
Old Club's Youth SBRO
Player's New Information
New Club
New Club's Senior Club Union
New Club's College Conference
New Club's Youth SBRO
Compliance
Have you requested release for transfer from your former coach or club administrator by email?
Reason for Transfer:
If you selected "Other," please explain.
Do you understand the USA Rugby eligibility regulations associated with this kind of transfer?
Are you aware that even though you have requested this transfer, it may be subject to additional eligibility regulations and therefore require additional documentation?
Do you have any outstanding disciplinary or financial obligations with your current club, union, conference, or SBRO?
Have you competed in league or playoff matches with your old club in the 2013-2014 competitive season?
By typing my name I authorize that the information provided is accurate to the best of my knowledge. I understand the disciplinary and eligibility consequences of misrepresenting myself or this transfer. USA Rugby or a union representative may contact me using the information I provided if additional information is needed.
Should be Empty:

USA Rugby Transfer Request

If you are a High School member please contact your local state administrator so that they can process your initial transfer request. You can find their contact information at http://www.usarugby.org/sro.

Player Information

Player's Contact Information

Player's Old Information

Player's New Information

Compliance